Individual
JONATHAN M OLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15830 BALLANTYNE MEDICAL PL, SUITE 225, CHARLOTTE, NC 28277-4653
(704) 919-1105
(704) 910-3163
Mailing address
15830 BALLANTYNE MEDICAL PL, SUITE 225, CHARLOTTE, NC 28277-4653
(704) 919-1105
(704) 910-3163
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2012-02257
NC
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
2012-02257
NC
207ND0101X
MOHS-Micrographic Surgery Physician
MD39964
SC
Other
Enumeration date
06/11/2008
Last updated
04/03/2026
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