# JONATHAN CARL O'QUINN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1811948607
- **Gender:** Man
- **Credential:** DPM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 483 | NC | Yes |

## Other

- **Enumeration date:** 05/15/2006
- **Last updated:** 09/11/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0810Y | BCBSNC | NC |
| 05 | — | 5900554 | — | NC |
| 05 | — | 890182Y | — | NC |