Individual
MR. JONATHAN BRANDON WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3333 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 718-5000
Mailing address
150 PETERS CREEK PKWY APT 421, WINSTON SALEM, NC 27101-3688
(240) 695-2978
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
682
NC
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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