Evan Jacob Pogorelec, DO
Family Medicine in Lenoir, NC. Individual provider (NPI-1).
NPI number1295298024
StatusActive
Last updated in NPPESJul 20, 2022
Details
- NPI
- 1295298024
- Entity type
- Individual (NPI-1)
- Name
- Evan Jacob Pogorelec
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2019
- Certification date
- Jul 20, 2022
- Last updated
- Jul 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 2022-00054 | NC | Yes |
Practice location
1208 Hickory Blvd Sw Ste 102Lenoir, NC 28645-6461
Phone 828-991-4660 · Fax 828-991-4659
Mailing address
1208 Hickory Blvd Sw Ste 102Lenoir, NC 28645-6461
Phone 828-991-4660
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