Individual
MR. JERRY ALLEN WEDINCAMP JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
201 E GROVER ST, SHELBY, NC 28150-3917
(704) 487-3812
Mailing address
4400 GOLF ACRES DRIVE, SUITE A, CHARLOTTE, NC 28208-5906
(704) 512-6428
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
146165
NC
Other
Enumeration date
09/29/2006
Last updated
04/14/2022
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