Individual
JEFFREY JAY WOMMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1100 TUNNEL RD, ASHEVILLE, NC 28805-2576
(828) 298-7911
Mailing address
1100 TUNNEL RD, ASHEVILLE, NC 28805-2576
(828) 298-7911
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
101774
NC
363AS0400X
Surgical Physician Assistant
101774
NC
Other
Enumeration date
08/30/2006
Last updated
04/24/2024
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