Individual
DR. JOHN L JENNINGS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2613 HOSPITAL RD, GOLDSBORO, NC 27534
(919) 736-0222
(919) 736-0223
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
27212
NC
207ND0900X
Dermatopathology Physician
27212
NC
207NS0135X
Procedural Dermatology Physician
27212
NC
Other
Enumeration date
11/08/2005
Last updated
02/19/2021
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