SearchNorth Carolina390200000X

Jonathon Deporter, TLLP

NPI 1992530349 · on the registry since 2024

Practice

Address
2175 Rock Merrit Ave
Fort Liberty, NC 28310
Phone
(910) 907-7698

Registry record

Primary taxonomy
390200000X
390200000X
Sex
Male
Record last updated
2024-09-05

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