Individual
JOHNATHAN HARRY STATHOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 MANNING DRIVE, CB# 7160, CHAPEL HILL, NC 27599
(984) 974-3982
(984) 974-9646
Mailing address
101 MANNING DR # 7160, CHAPEL HILL, NC 27514-4220
(984) 974-3982
(984) 974-9646
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
238207
NC
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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