Individual
JOHN J. MCKINNEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
711 NATIONAL HWY STE 100, THOMASVILLE, NC 27360-2668
(336) 475-2000
(336) 475-2008
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 713-0947
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31735
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110210894
RR MEDICARE
NC
05
—
8957162
—
NC
Enumeration date
07/17/2006
Last updated
01/28/2020
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