Individual
JASON C ECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4140 FERNCREEK DR STE 801, FAYETTEVILLE, NC 28314-2572
(910) 484-2171
(910) 484-4568
Mailing address
4140 FERNCREEK DR STE 801, FAYETTEVILLE, NC 28314-2572
(910) 484-2171
(910) 484-4568
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2019-02773
NC
207X00000X
Orthopaedic Surgery Physician
236738
MA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
2019-02773
NC
207XS0117X
Orthopaedic Surgery of the Spine Physician
2433
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2156075
—
MA
Enumeration date
06/18/2007
Last updated
01/09/2020
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