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Contact Information

G PERRY JERNIGAN II
320 PARKWOOD MEDICAL PK
ELKIN, NC28621
 Phone: 336-835-7113
 Fax: 336-835-4657
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for G PERRY JERNIGAN II

NPI Number 1285808980
LBN Legal business name G PERRY JERNIGAN II
Authorized official GEORGE JERNIGAN - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/15/2008
Last updated 04/15/2008 - About 18 years ago
Identifiers
NC License # 4362
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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