Dr. JIM JARALENE PORQUEZ BANNO M.D.
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1205417722- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 748 KENANSVILLE BYP, KENANSVILLE, NC, 283499064
- Phone
- (910) 296-8080
Specialties & Taxonomies
Family Medicine
Primary License: NC #2024-00756
All Addresses
MAILING
2100 STANTONSBURG RD
GREENVILLE, NC, 278342818