Individual
JEFF DARRACOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 HIDDEN PASTURES DR STE 202, CRAMERTON, NC 28032-1698
(704) 825-3350
Mailing address
102 HIDDEN PASTURES DR STE 202, CRAMERTON, NC 28032-1698
(704) 825-3350
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
110302
NC
Other
Enumeration date
10/14/2021
Last updated
10/15/2021
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