Male or Other

Jerry D. Day PA C

Physician Assistant in Pollocksville, NC(View on Map)

Full Name

Jerry Donald Day PA C

NPI Number

1245223379

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/24/2005

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Montana
North Carolina

License Number

73
100637

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 68
137 MEDICAL LANE

City

Pollocksville
Pollocksville

State

NC
NC

Postal Code

28573-0068
28573

Country

US
US

Telephone Number

(252) 633-1010
(252) 633-1010

Identifiers

Identifier

11729
8911729

Identifier State

NC
NC

Identifier Issuer

BLUE CROSS
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/22/2022

Provider Address

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