Individual
JIMMY NICOLAS PAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
34 HEALTHPARK WAY STE 100, CLAYTON, NC 27520-4497
(919) 585-8850
(919) 585-8869
Mailing address
5221 PARAMOUNT PKWY STE 220, MORRISVILLE, NC 27560-5490
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2023-02430
NC
Other
Enumeration date
03/23/2020
Last updated
01/30/2025
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