Dr. Jacob Robert Sorensen, DO
Pediatrics in Mount Airy, NC. Individual provider (NPI-1).
NPI number1992446801
StatusActive
Last updated in NPPESSep 15, 2026
Details
- NPI
- 1992446801
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jacob Robert Sorensen
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2022
- Certification date
- Sep 15, 2026
- Last updated
- Sep 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 2025-02286 | NC | Yes |
Practice location
865 Westlake DrMount Airy, NC 27030-2102
Phone 336-719-6100 · Fax 336-719-2313
Mailing address
Po Box 751803Charlotte, NC 28275-1803
Phone 336-719-6100
Other practice locations
100 Robinhood Medical Plz
Winston Salem, NC 27106-5472
Winston Salem, NC 27106-5472
Phone 336-718-0800
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All 12 Pediatrics Physician providers in Mount Airy · All 681 providers in Mount Airy
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