Individual
TREVOR AUGUSTUS JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 PINE RUN DR, LUMBERTON, NC 28358-2180
(910) 671-5730
Mailing address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 671-5290
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
2010-00960
NC
207RX0202X
Medical Oncology Physician
Primary
2010-00960
NC
Other
Enumeration date
07/02/2009
Last updated
09/02/2025
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