Individual
PHIL JASON FLEWWELLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2817 REILLY ST, FORT BRAGG, NC 28310-7324
(910) 396-8115
Mailing address
2817 REILLY ST, FORT BRAGG, NC 28310-7324
(910) 396-8115
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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