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Dr. Jessica D Bocook, DO
Adult Medicine Physician in Southport, North Carolina
NPI 1861406423

Jessica D Bocook is an Adult Medicine Physician based in Southport, NC and is specialized in Adult Medicine. Jessica D Bocook practices in Southport, NC and has the professional credentials of DO. The NPI Number for Jessica D Bocook is 1861406423 and holds a License No. 2010-00929 (North Carolina).

The current practice location address for Jessica D Bocook is 906 N Howe St, Southport, NC and can be reached out via phone at 910-454-1197 and via fax at 910-454-4330.

Location: 906 N Howe St, Southport, NC, 28461-3038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861406423
Provider Name
Jessica D Bocook
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
906 N Howe St, Southport, NC, 28461-3038
Phone Number
910-454-1197
Fax Number
910-454-4330
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64120751 05 KY
institution
Provider Business Practice Location Address Details
Address
906 N Howe St
City
Southport
State
North Carolina
Zip
28461
Phone Number
910-454-1197
Fax Number
910-454-4330
person
Provider Business Mailing Address Details
Address
906 N Howe St
City
Southport
State
North Carolina
Zip
28461
Phone Number
910-454-1197
Fax Number
910-454-4330
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
2010-00929 (North Carolina)
Definition
Definition to come.
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