Jack Llorrac Bagley in Wilmington - Physician Assistant
Jack Llorrac Bagley - NPI 1083653745
Jack Llorrac Bagley is a Physician Assistant in Wilmington, North Carolina. Jack Llorrac Bagley practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jack Llorrac Bagley is 1083653745. The last update date is 2021-10-07.
Jack Llorrac Bagley's current location address is 2208 S 17th St, Wilmington, North Carolina. You can contact this provider via phone number 9107633333. The mailing address for Jack Llorrac Bagley is 2208 S 17th St, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Llorrac Bagley |
|---|---|
| Address | 2208 S 17th St, Wilmington, North Carolina |
| Phone Number | 9107633333 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1083653745 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2021-10-07 |
Provider Mailing Address Detail
| Address | 2208 S 17th St |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284017593 |
| Phone Number | 9107633333 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 2006004610 |
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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 perfor |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Jack Llorrac Bagley?
The Jack Llorrac Bagley has been issued the NPI (National Provider Identifier) 1083653745 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jack Llorrac Bagley's facilities are situated?
The facilities of Jack Llorrac Bagley are physically located at the following address: 2208 S 17Th St, Wilmington, NC, 284017593.
What is Jack Llorrac Bagley's area of expertise and its corresponding taxonomy classification?
The Jack Llorrac Bagley's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
When did the Jack Llorrac Bagley receive its 1083653745?
The Jack Llorrac Bagley was issued its 1083653745 on 2006-06-06, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Jack Llorrac Bagley, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jack Llorrac Bagley, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-10-07.
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