Individual
JASPER C RATTERREE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 RANDOLPH RD, STE 900, CHARLOTTE, NC 28207-1106
(704) 377-2424
(704) 377-2687
Mailing address
501 S SHARON AMITY RD, STE 300, CHARLOTTE, NC 28211-0035
(704) 377-2424
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
38175
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70506
BCBSNC
NC
05
—
89-70506
—
NC
01
—
930067618
RR MEDICARE
NC
05
—
N38175
—
SC
Enumeration date
05/19/2006
Last updated
08/05/2020
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