Individual
JONATHAN RAY LOCKLEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2300 RAMSEY ST, FAYETTEVILLE, NC 28301-3856
(910) 488-2120
Mailing address
1310 WATER LEAF DR, FAYETTEVILLE, NC 28314-6700
(910) 374-9840
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08733
NC
Other
Enumeration date
12/20/2018
Last updated
08/25/2025
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