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Contact Information

JACOB W MCDOUGALL, PA-C
162 LEGACY OAKS DR
KNIGHTDALE, NC27545-6556
 Phone: 919-373-1800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JACOB W MCDOUGALL · (Male)

NPI # 1801331467
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 01/05/2017
Last updated 10/26/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 0010-06933
  • UT License # 12689705-1206
  • UT License # 12689705-8906
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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