Individual
JACOB KENNETH BUCCINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2226 NELSON HWY STE 102, CHAPEL HILL, NC 27517-9638
(984) 974-2141
Mailing address
1480 TOWN CREEK RD, EDEN, NC 27288-8054
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
14227
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2020
Last updated
02/01/2022
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