Individual
DR. JACQUES MAURICE VILLIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
215 BRIGHTWATER DR, LILLINGTON, NC 27546-5156
(910) 892-1000
Mailing address
215 BRIGHTWATER DR, LILLINGTON, NC 27546-5156
(910) 892-1000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
338339
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2020
Last updated
02/21/2024
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