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NPI Code Detail

MEDICARE: DR. JESSE REY NOBLEZA CONSING M.D

MEDICARE: DR. JESSE REY NOBLEZA CONSING 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
1207Q00000XFamily Medicine Physician98-00821NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396785028
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESSE REY NOBLEZA CONSING M.D
Provider Business Mailing Address
First Line : 517 MAIN AVE. WEST
Second Line :
City : HILDEBRAN
State : NC
Zip : 28637
Country : US
Telephone Number : 828-397-5561
Fax Number : 828-397-3226
Provider Business Practice Location Address
First Line : 517 MAIN AVE. WEST
Second Line :
City : HILDEBRAN
State : NC
Zip : 28637
Country : US
Telephone Number : 828-397-5561
Fax Number : 828-397-3226
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 03/07/2023

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