Individual
DR. JERRILL LEE MCENTIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26 SOUTH THOMASON STREET, OLD FORT, NC 28762-0789
(828) 668-7694
Mailing address
PO BOX 789, OLD FORT, NC 28762-0789
(828) 668-7694
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18973
NC
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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