Organization
PRIMECARE PHYSICIANS OF JACKSONVILLE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRETT L ROGERS M.D. (SOLE OWNER)
(910) 353-3000
Entity
Organization
Contact information
Practice address
29 OFFICE PARK DR, SUITE A, JACKSONVILLE, NC 28546-3219
(910) 353-3000
(910) 238-4456
Mailing address
29 OFFICE PARK DR, SUITE A, JACKSONVILLE, NC 28546-3219
(910) 353-3000
(910) 238-4456
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
168380
NC
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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