Individual
DR. BRIAN LEROY JERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1718 E 4TH ST, SUITE 307, CHARLOTTE, NC 28204-3261
(704) 333-1259
(704) 333-0371
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 333-1259
(704) 333-0371
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
00264
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891195P
—
NC
Enumeration date
11/04/2005
Last updated
12/08/2016
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