Individual
JERRY HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
650 S TRYON ST STE 440, CHARLOTTE, NC 28202-3271
(704) 626-6266
Mailing address
841 BELMONT AVE, CHARLOTTE, NC 28205-2710
(704) 252-1604
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NY
Other
Enumeration date
10/31/2019
Last updated
01/03/2024
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