Individual
JASON JAMIER BETHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3330 SISKEY PKWY, MATTHEWS, NC 28105-3222
(704) 316-9001
(704) 316-9008
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-9001
(704) 316-9008
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2018-01304
NC
Other
Enumeration date
04/01/2014
Last updated
12/08/2023
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