JACK EDWARD RUNNELS

CONCORD, NC
NPI1710627617
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207QS0010X Family Medicine, Sports Medicine
(Licence: NC  2025-01850)
Enumeration Date2022-03-30
Last Update Date2025-08-25
Business Address
JACK EDWARD RUNNELS DO
5651 POPLAR TENT RD STE 102
CONCORD, NC 28027-7686
Phone number: 704-782-4878
Mailing Address
JACK EDWARD RUNNELS DO
5651 POPLAR TENT RD STE 102
CONCORD, NC 28027-7686
Phone number: