Individual
JASON SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
710 PARK CENTER DR STE 300, MATTHEWS, NC 28105-5082
(704) 323-3200
(704) 323-3204
Mailing address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 323-2256
(704) 945-7681
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2012-00101
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245385152
—
NC
05
—
NC1542
—
SC
Enumeration date
01/24/2007
Last updated
09/30/2021
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