Individual
JACKSON ROSS VUNCANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2226 NELSON HWY STE 101, CHAPEL HILL, NC 27517-9638
(984) 974-6484
Mailing address
5221 PARAMOUNT PKWY STE 420, MORRISVILLE, NC 27560-5491
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2024-00590
NC
207Y00000X
Otolaryngology Physician
91811
GA
Other
Enumeration date
04/07/2017
Last updated
06/20/2024
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