Individual provider · Type 1 NPI

Jerry Lee Hopping Iii, PAC

Medical Physician Assistant · Winston-Salem, NC

NPI number 1669455366 Active

Practice location

Medical Center Blvd
Winston-Salem, NC 27157

Mailing address

PO Box 344
Winston Salem, NC 27102-0344

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X100129 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1669455366

Jerry Lee Hopping Iii, PAC's National Provider Identifier is 1669455366, issued on Nov 28, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Winston-Salem, NC. The record was last updated on Jul 8, 2007.