Individual
JACOB PERRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
590 MANNING DR, CHAPEL HILL, NC 27599-6119
(974) 984-4888
Mailing address
10 SUNNYBROOK RD, RALEIGH, NC 27610-1861
(919) 250-3920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2021-01747
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2018
Last updated
07/30/2021
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