Individual
JONATHAN EPPERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 VAIL AVE, CHARLOTTE, NC 28207-1248
(800) 461-1398
Mailing address
6135 PARK SOUTH DR STE 510, CHARLOTTE, NC 28210-0100
(800) 461-1398
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2021-03426
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46603808
—
CO
01
—
806270
BLUE CROSS BLUE SHIELD
CO
Enumeration date
09/06/2006
Last updated
09/19/2024
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