Individual
JOHN ROBERT PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9201 COUNTY LINE RD., SHARPSBURG, NC 27878
(252) 446-4455
(252) 446-1338
Mailing address
410 S TAYLOR ST, ROCKY MOUNT, NC 27803-1837
(252) 442-5752
(252) 446-1338
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200000114
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89130F0
—
PA
Enumeration date
12/29/2006
Last updated
07/08/2007
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