Individual
JON ANDREW SECREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
291 BROAD ST, DBA KERNERSVILLE FAMILY PRACTICE, KERNERSVILLE, NC 27284-2932
(336) 993-8181
(336) 996-9538
Mailing address
2000 FRONTIS PLAZA BLVD STE 200, (ATTN) FORSYTH MEDICAL GROUP, WINSTON SALEM, NC 27103-5616
(336) 277-2435
(336) 277-9275
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
67247
NC
Other
Enumeration date
03/24/2006
Last updated
10/25/2020
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