Deacon Med PA
NPI #1881998748 in Randleman, North Carolina
Provider Information
- NPI Number
- 1881998748
- Entity Type
- Organization
- Organization Name
- Deacon Med PA
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jan 6, 2011
- Last Updated
- Jan 6, 2011
Practice Location
- Address
- 702 S MAIN ST
- City
- Randleman
- State
- North Carolina
- ZIP Code
- 27317-2102
- Phone
- (336) 545-1515
Authorized Official
- Name
- DR. JEROME I DAVIS, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (336) 545-1515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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