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Jacob Gray Lackey, PA-C
Medical Physician Assistant in Clemmons, North Carolina
NPI 1699178731

Jacob Gray Lackey is a Medical Physician Assistant based in Charlotte, NC and is specialized in Medical. Jacob Gray Lackey practices in Clemmons, NC and has the professional credentials of PA-C. The NPI Number for Jacob Gray Lackey is 1699178731 and holds a License No. 0010-05288 (North Carolina).

The current practice location address for Jacob Gray Lackey is 3163 Gammon Ln, Clemmons, NC and can be reached out via phone at 336-310-5571 and via fax at 336-310-5574.

Location: 3163 Gammon Ln, Clemmons, NC, 28260-1843
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699178731
Provider Name
Jacob Gray Lackey
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
3163 Gammon Ln, Clemmons, NC, 28260-1843
Phone Number
336-310-5571
Fax Number
336-310-5574
Provider Enumeration Date
10/03/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3163 Gammon Ln
City
Clemmons
State
North Carolina
Zip
27012-9052
Phone Number
336-310-5571
Fax Number
336-310-5574
person
Provider Business Mailing Address Details
Address
3163 Gammon Ln
City
Clemmons
State
North Carolina
Zip
27012-9052
Phone Number
336-310-5571
Fax Number
336-310-5574
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
001005288 (North Carolina)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
0010-05288 (North Carolina)
Definition
Definition to come...
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