Individual
DR. JOHN WESLEY LONGSHORE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2001 VAIL AVE, CHARLOTTE, NC 28207-1219
(704) 379-5979
Mailing address
111 SLOANE SQUARE WAY, CHARLOTTE, NC 28211-2972
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/04/2006
Last updated
07/08/2007
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