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Individual
JONATHAN PRIVETTE
Active
Individual
JONATHAN PRIVETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
2008-01686
NC
207ZP0101X
Anatomic Pathology Physician
Primary
2008-01686
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174UW
BCBS
NC
05
—
5922084
—
NC
Enumeration date
05/07/2007
Last updated
03/28/2013
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