Individual
DR. JONATHAN CHARLES LEE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
390 W SALEM AVE, WINSTON SALEM, NC 27101-5861
(336) 721-2375
(336) 721-2394
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 721-2375
(336) 721-2394
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2025-01755
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2022
Last updated
07/16/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us