Individual
MICHAEL JOSILEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 COUNTRY CLUB RD, JACKSONVILLE, NC 28546-6005
(910) 346-5016
Mailing address
317 HARVEST DR, JACKSONVILLE, NC 28540-3812
(910) 478-0730
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9500962
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47511
BC/BS
NC
05
—
89013R6
—
NC
05
—
8947511
—
NC
Enumeration date
09/27/2006
Last updated
06/29/2012
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