Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES WEST JACOCKS IV, MD
ActiveCardiovascular Disease · FAYETTEVILLE, NC
Registration Details
- NPI Number
- 1720051105
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 8, 2006 (20.249209875604 yrs)
- Last Updated
- Jul 31, 2019
- License
-
14114 (SC)
Practice Information
- Address
-
2300 RAMSEY ST RM 304-AFAYETTEVILLE, NC, 283013856Browse NC providers · Browse ZIP 28301
- Phone
- 9104882120
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
Other Cardiovascular Disease Providers in FAYETTEVILLE, NC
| Name | Credential | NPI |
|---|---|---|
| DR. HARI P SAINI | M.D. | 1649269275 |
| DR. MUHAMMAD A PARACHA | M.D. | 1619966249 |
| FRANCIS TREVOR THANDROYEN | MD, FACC | 1861477713 |
| DR. BRENDA MAY-DEPAOLA | D.O. | 1154393080 |
| TIMOTHY P BLAIR | MD | 1760456537 |
| STEPHEN MABRY GINN | MD | 1861466658 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.