Jolly, Raymond J

Jolly, Raymond J is an individual health care provider with primary practice located at 2716 Ashton Dr , Wilmington NC 28412-2489. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Jolly, Raymond J can be contacted via phone (910) 332-3800.

Contact Information

Primary practice address
2716 Ashton Dr Wilmington NC 28412-2489
Phone: (910) 332-3800
Fax: (910) 251-0421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 103624 North Carolina

Profile Details

NPI number 1588666929
LBN Legal business name Jolly, Raymond J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Oct 3rd, 2012 - about 14 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 1588666929 NPPES
North Carolina Other 103624 MEDICAL LICENSE

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