Individual
JONATHAN DANIEL BOUCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 BLYTHE BVLD., CHARLOTTE, NC 28203
(704) 355-3641
Mailing address
1000 BLYTHE BVLD., CHARLOTTE, NC 28203
(704) 355-3641
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME147193
FL
208600000X
Surgery Physician
Primary
192308
NC
Other
Enumeration date
05/06/2013
Last updated
09/07/2022
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