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Individual

DR. JASON JOUNGWOO NAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2817 ROCK MERRIT AVE, FORT BRAGG, NC 28310-1231
(910) 907-7369
Mailing address
2817 ROCK MERRITT AVE, FORT BRAGG, NC 28310-0010

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2017-01885
NC
207RP1001X
Pulmonary Disease Physician
Primary
2017-01885
NC
208D00000X
General Practice Physician
0101256785
VA

Other

Enumeration date
06/19/2013
Last updated
04/19/2026
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