Individual
JARROD RYAN DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2215 RANDOLPH ROAD, CHARLOTTE, NC 28207
(704) 372-6846
(704) 342-0752
Mailing address
2215 RANDOLPH ROAD, CHARLOTTE, NC 28207
(704) 372-6846
(704) 342-0752
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
2013--01297
NC
208600000X
Surgery Physician
49702
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
639138000
—
MN
Enumeration date
02/08/2007
Last updated
11/19/2013
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