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Jack Bagley, PA-C
NPI 1083653745 · on the registry since 2006
Practice
- Address
- 2208 S 17th St
Wilmington, NC 28401 - Phone
- (910) 763-3333
- Organisation at this address
- Peacock-Bettendorf, Llc
Atlantic Brain And Spine, P.A.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 17
Additional practice sites
- 1002 N Church St Ste 200, Greensboro, NC
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
- Licence states on file
- MO, NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina