MEDICARE: JOHN JEFFREY TOPE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	24877	NC
2	207P00000X	Emergency Medicine Physician	24877	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	299278100	OTHER	NC	TRICARE
2	8364A	OTHER	NC	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1326055757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN JEFFREY TOPE M.D.

Provider Business Mailing Address
First Line	:	1804 TORRINGTON ST
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-2575
Country	:	US
Telephone Number	:	919-614-0984
Fax Number	:

Provider Business Practice Location Address
First Line	:	1804 TORRINGTON ST
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-2575
Country	:	US
Telephone Number	:	919-614-0984
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	02/17/2022

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