Individual
DR. JONATHAN ALLEN ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7903 PROVIDENCE RD STE 100, CHARLOTTE, NC 28277-9763
(704) 316-4460
(704) 316-4466
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2023-01935
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2020
Last updated
07/24/2023
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