Individual
RIYAZ H JINNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4901 DAWN DR, SUITE 2300, LUMBERTON, NC 28360-8287
(910) 738-1065
(910) 738-5143
Mailing address
2600 N ELM ST, LUMBERTON, NC 28358-3011
(910) 671-5367
(910) 738-3764
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2006-01492
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5906116
—
NC
Enumeration date
11/09/2006
Last updated
04/27/2017
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