Individual
DENNIS JAGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SRNA
Contact information
Practice address
1550 UNION RD, GASTONIA, NC 28054-5522
(704) 864-8772
(704) 866-7853
Mailing address
2080 W ARLINGTON BLVD STE B, GREENVILLE, NC 27834-3770
(252) 752-2140
(252) 689-6502
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
141259
NC
Other
Enumeration date
01/24/2019
Last updated
01/24/2019
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