Individual
JOHN LABS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1900 RANDOLPH RD STE 1016, CHARLOTTE, NC 28207-1117
(704) 347-3447
(704) 347-3440
Mailing address
PO BOX 1844, BRYSON CITY, NC 28713-1844
(980) 270-6770
(828) 538-4441
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103861
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255314134
—
NC
01
—
1611C
BCBS NC
NC
Enumeration date
11/23/2005
Last updated
07/12/2019
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