Individual
JASON KOPENITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3735 GLENLAKE DR STE 250, CHARLOTTE, NC 28208-6866
(704) 749-5800
(704) 626-3237
Mailing address
PO BOX 117661, ATLANTA, GA 30368-7661
(704) 749-5800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2022-00657
NC
207L00000X
Anesthesiology Physician
91310
SC
Other
Enumeration date
04/09/2018
Last updated
04/04/2024
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