Individual
JEREMY SLADE HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 W.T. HARRIS BLVD. EAST SUITE 5201, CHARLOTTE, NC 28262-7140
(704) 547-1495
(704) 547-1861
Mailing address
101 W.T. HARRIS BLCD. EAST SUITE 5201, CHARLOTTE, NC 28262
(704) 547-1495
(704) 547-1861
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
200701727
NC
Other
Enumeration date
05/03/2007
Last updated
06/26/2023
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