Individual
MR. JACK RICHARD CAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
214 DOCTORS ST, SPARTA, NC 28675-9247
(336) 372-5606
(336) 372-6211
Mailing address
214 DOCTORS ST, SPARTA, NC 28675
(336) 372-5606
(336) 372-6211
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19788
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0107814
UNITIED HEALTHCARE
—
01
—
20644
NCBCBS
—
01
—
21734
MEDCOST
—
01
—
5001
PARTNERS CHOICE
—
05
—
5603595
—
VA
05
—
8920644
—
NC
Enumeration date
02/06/2006
Last updated
12/12/2007
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