Individual
DR. JAKE SEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 484-4191
Mailing address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 484-4191
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
840
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2021
Last updated
09/05/2024
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