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NPI Profile for Dr JESSICA D BOCOOK in SOUTHPORT, NC.
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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice |
| NPI # | 1861406423 |
|
| Status | Active | |
| Credentials | DO (Doctor of Osteopathic) | |
| Entity | Individual | |
| Enumeration date | 07/28/2006 | |
| Last updated | 02/19/2019 - About 7 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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JESSICA D BOCOOK
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JESSICA D BOCOOK, DO