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Individual

DR. CHARLES EDWARD JAHRSDORFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3282 CHARLES BLVD, GREENVILLE, NC 27858
(252) 606-0947
(252) 606-0949
Mailing address
3282 CHARLES BLVD, GREENVILLE, NC 27858
(252) 756-3713

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200401074
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
016RK
GROUP #
NC
01
138NO
BCBS
NC
05
89016RK
NC
05
89138NO
NC
Enumeration date
03/10/2006
Last updated
05/13/2025
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