Individual
DR. JEFFREY ALAN MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1984 S 16TH ST STE 1, WILMINGTON, NC 28401-6674
(910) 452-8633
(910) 452-8569
Mailing address
PO BOX 15109, WILMINGTON, NC 28408-5109
(910) 392-2525
(910) 392-2827
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02002556A
IN
207Q00000X
Family Medicine Physician
036104766
IL
207Q00000X
Family Medicine Physician
Primary
200701218
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02002556A
STATE LICENSE NUMBER
IN
01
—
02002556B
STATE CONTROLLED LIC
IN
01
—
036104766
STATE LICENSE NUMBER
IL
01
—
147HR
BCBS OF NC
NC
01
—
336090764
STATE CONTROLLED LICENSE
IL
05
—
5907839
—
NC
01
—
812085
PARTNERS/BLUE MEDICARE
NC
Enumeration date
07/27/2006
Last updated
05/11/2026
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