Individual
JUSTIN RYAN PENNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6013 FARRINGTON RD, CHAPEL HILL, NC 27517-8172
(984) 974-6669
(984) 974-9609
Mailing address
PEDIATRIC EDUCATION OFFICE CAMPUS BOX 7593, CHAPEL HILL, NC 27599-4220
(919) 966-3172
(984) 974-9609
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RTL24-0279
NC
Other
Enumeration date
04/22/2024
Last updated
05/15/2024
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