Individual
MR. JEFFREY DABKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4601 PARK RD, SUITE 250, CHARLOTTE, NC 28209-3239
(704) 323-2000
Mailing address
4601 PARK RD, SUITE 250, CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03816
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8102873
—
NC
Enumeration date
09/15/2011
Last updated
04/03/2013
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