Provider Demographics
NPI:1740312487
Name:COURY, JEFFREY GERARD (DO)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:GERARD
Last Name:COURY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:333 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-3601
Mailing Address - Country:US
Mailing Address - Phone:910-914-0540
Mailing Address - Fax:910-914-0640
Practice Address - Street 1:333 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-3601
Practice Address - Country:US
Practice Address - Phone:910-914-0540
Practice Address - Fax:910-914-0640
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS012658207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery