Individual
DR. JAMES PATRICK MORTIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 HOSPITAL AVE, JEFFERSON, NC 28640-9244
(336) 846-0805
(336) 846-0746
Mailing address
200 HOSPITAL AVE, JEFFERSON, NC 28640-9244
(336) 846-0805
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2023-01374
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255054623
—
NC
Enumeration date
08/31/2005
Last updated
11/14/2024
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