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Individual

JOHN MCMILLAN MORYKON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
308 DOLPHIN DR, JACKSONVILLE, NC 28546-5266
(910) 346-2273
(910) 346-1907
Mailing address
308 DOLPHIN DR, JACKSONVILLE, NC 28546-5266
(910) 346-2273
(910) 346-1907

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03707
NC

Other

Enumeration date
02/13/2012
Last updated
08/17/2012
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