INGRAM JANSEN

ELIZABETHTOWN, NC
NPI1558438325
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  101948)
Enumeration Date2006-11-29
Last Update Date2007-07-09
Business Address
-- INGRAM JANSEN P.A.
501 S POPLAR ST
ELIZABETHTOWN, NC 28337-9375
Phone number: 910-862-5100
Mailing Address
-- INGRAM JANSEN P.A.
PO BOX 398
ELIZABETHTOWN, NC 28337-0398
Phone number: 910-862-5100