Individual
EMMANUEL JAQUAN MCLEOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 AIRPORT RD, KINSTON, NC 28501-1604
(334) 477-1613
Mailing address
100 AIRPORT RD, KINSTON, NC 28501-1604
(334) 477-1613
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/12/2022
Last updated
03/03/2023
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