Individual
DR. JIMMY LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(877) 498-4490
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
28998
NC
207RC0000X
Cardiovascular Disease Physician
28998
NC
207RI0011X
Interventional Cardiology Physician
Primary
28998
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89-52441
—
NC
Enumeration date
07/11/2005
Last updated
03/08/2021
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