Individual
JOLANTA JOZEFARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10650 PARK RD, SUITE 420, CHARLOTTE, NC 28210-8538
(704) 302-8700
(704) 302-8701
Mailing address
PO BOX 601643, CHARLOTTE, NC 28260-1643
(704) 302-8700
(704) 302-8701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2016-0216
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033518915
—
NC
05
—
NC2904
—
SC
Enumeration date
08/18/2014
Last updated
09/24/2018
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