Individual
ADNAN TAJ-ELDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 DOCTORS DR, SUITE I, JACKSONVILLE, NC 28546-6308
(910) 353-6327
(910) 353-6329
Mailing address
200 DOCTORS DR, SUITE I, JACKSONVILLE, NC 28546-6308
(910) 353-6327
(910) 353-6329
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21725
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
561632684
TRICARE
—
01
—
81418
BCBS
—
05
—
8981418
—
NC
Enumeration date
07/18/2006
Last updated
12/30/2009
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