| NPI | 1831174028 |
|---|---|
| Former Legal Business Name | DRS. JERNIGAN, DAVIS AND ASSOCIATES, PA |
| Entity Type | Organization |
| Authorized Contact | EDWARD WILLIAMS JERNIGAN President 252-977-7197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 4913) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 5140) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2023-12-04 |