Dr Sopna E Jacob, MD | |
1700 Tarboro St W, Suite 200, Wilson, NC 27893-3481 | |
(252) 399-5310 | |
(252) 399-5311 |
Full Name | Dr Sopna E Jacob |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 1700 Tarboro St W, Wilson, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184723405 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25MA07953200 (New Jersey) | Secondary |
207R00000X | Internal Medicine | 2014-01098 (North Carolina) | Primary |
Entity Name | Dlp Wilson Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932521010 PECOS PAC ID: 2567695307 Enrollment ID: O20140502000396 |
Mailing Address | Practice Location Address |
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Dr Sopna E Jacob, MD 1700 Tarboro St W, Suite 200, Wilson, NC 27893-3481 Ph: (252) 399-5310 | Dr Sopna E Jacob, MD 1700 Tarboro St W, Suite 200, Wilson, NC 27893-3481 Ph: (252) 399-5310 |
Bonnie Ann Boshart, FNP Internal Medicine Medicare: Medicare Enrolled Practice Location: 200 Glendale Dr W, Wilson, NC 27893 Phone: 252-399-0737 Fax: 252-399-0747 | |
Dr. Jessica Heather Mckee, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2635 Tilghman Rd N, Wilson, NC 27896 Phone: 252-991-2067 Fax: 252-991-2068 | |
Richard L Burdick, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Glendale Drive, Wilson, NC 27893 Phone: 252-399-0737 Fax: 252-399-0747 | |
Ameet Kumar, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1705 Tarboro St Sw, Wilson, NC 27893 Phone: 252-399-8040 | |
Dr. Anwar Darwish Al-haidary, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2503 Wooten Blvd Sw, Wilson, NC 27893 Phone: 252-243-2268 Fax: 252-243-2917 | |
Dr. Sanjay Cherukuri, SANJAY CHERUKURI Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2605 Forest Hills Rd Sw, Wilson, NC 27893 Phone: 252-243-7161 Fax: 252-243-7242 |