Dr Jim Jaralene Porquez Banno, MD | |
748 Kenansville Byp, Kenansville, NC 28349-9064 | |
(910) 296-8080 | |
Not Available |
Full Name | Dr Jim Jaralene Porquez Banno |
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Gender | Female |
Speciality | Family Medicine |
Location | 748 Kenansville Byp, Kenansville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1205417722 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 2024-00756 (North Carolina) | Primary |
Entity Name | Goshen Medical Center Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023424686 PECOS PAC ID: 3173434479 Enrollment ID: O20040102000726 |
Entity Name | Vidant Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
Mailing Address | Practice Location Address |
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Dr Jim Jaralene Porquez Banno, MD 2100 Stantonsburg Rd, Greenville, NC 27834-2818 Ph: () - | Dr Jim Jaralene Porquez Banno, MD 748 Kenansville Byp, Kenansville, NC 28349-9064 Ph: (910) 296-8080 |
Ms. Kimberly Michelle Biichle, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 748 Kenansville Byp, Kenansville, NC 28349 Phone: 910-296-8080 | |
Dr. Vincent Kilmer Cheek, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 N Main St, Kenansville, NC 28349 Phone: 910-296-2774 |