Jernigan, Peter A

Jernigan, Peter A is an individual health care provider with primary practice located at 200 Providence Rd Suite 101, Charlotte NC 28207-1468. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Jernigan, Peter A can be contacted via phone (704) 749-5800.

Contact Information

Primary practice address
200 Providence Rd Suite 101 Charlotte NC 28207-1468
Phone: (704) 749-5800
Fax: (704) 749-5819
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 39285 North Carolina

Profile Details

NPI number 1457346892
LBN Legal business name Jernigan, Peter A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Feb 9th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457346892 NPPES
North Carolina MEDICAID 8945919

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