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Individual

DR. JACK EDWARD PULWERS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2604 DR MARTIN LUTHER KING JR BLVD, NEW BERN, NC 28562-4238
(252) 638-4023
(252) 633-2833
Mailing address
PO BOX 68, POLLOCKSVILLE, NC 28573-0068
(252) 638-4023
(252) 633-2833

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2022-00810
NC
207R00000X
Internal Medicine Physician
ME0068123
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
378243300
FL
Enumeration date
07/03/2006
Last updated
09/14/2022
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