Individual
JEROME NYMBERG III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
270 COPPERFIELD BLVD NE, STE 102, CONCORD, NC 28025-2441
(704) 786-6521
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27498
NC
Other
Enumeration date
10/06/2005
Last updated
01/20/2021
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