Organization
JEAN E AYCOCK MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN ELIZABETH AYCOCK MD (PRESIDENT)
(919) 833-5869
Entity
Organization
Contact information
Practice address
867 WASHINGTON ST, RALEIGH, NC 27605-1255
(919) 833-5869
(919) 833-5859
Mailing address
867 WASHINGTON ST, RALEIGH, NC 27605-1255
(919) 833-5869
(919) 833-5859
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30118
NC
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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