Individual provider · Type 1 NPI

Jorge Luis Caceres Jr., PA-C

Medical Physician Assistant · Raeford, NC

NPI number 1407818586 Active

Practice location

116 Campus Ave
Raeford, NC 28376-2606

Call (910) 875-9087 Map

Fax (910) 875-4597

Mailing address

3186 Bittersweet Dr
Fayetteville, NC 28306-2518

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNC 102392 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1407818586

Jorge Luis Caceres Jr., PA-C's National Provider Identifier is 1407818586, issued on Apr 4, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Raeford, NC. The record was last updated on Sep 2, 2010.