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Jacob Giron Pannaman, DO
Student in an Organized Health Care Education/Training Program in Greenville, North Carolina
NPI 1073365839

Jacob Giron Pannaman is a Student in an Organized Health Care Education/Training Program based in Greenville, NC. Jacob Giron Pannaman practices in Greenville, NC and has the professional credentials of DO. The NPI Number for Jacob Giron Pannaman is 1073365839 and holds a License No. PANN-FT339J (North Carolina).

The current practice location address for Jacob Giron Pannaman is 2100 Stantonsburg Rd, Greenville, NC and can be reached out via phone at 252-744-6683 and via fax at 252-744-6693.

Location: 2100 Stantonsburg Rd, Greenville, NC, 27834-2818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073365839
Provider Name
Jacob Giron Pannaman
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
2100 Stantonsburg Rd, Greenville, NC, 27834-2818
Phone Number
252-744-6683
Fax Number
252-744-6693
Provider Enumeration Date
04/04/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2100 Stantonsburg Rd
City
Greenville
State
North Carolina
Zip
27834-2818
Phone Number
252-744-6683
Fax Number
252-744-6693
person
Provider Business Mailing Address Details
Address
2100 Stantonsburg Rd
City
Greenville
State
North Carolina
Zip
27834-2818
Phone Number
252-744-6683
Fax Number
252-744-6693
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
PANN-FT339J (North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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