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Individual

DR. JONATHAN SHREVE MINKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
135 S SHARON AMITY RD STE 100, CHARLOTTE, NC 28211-3870
(704) 365-0555
(704) 367-8120
Mailing address
PO BOX 60160, CHARLOTTE, NC 28260-0160
(704) 365-0555
(704) 367-8122

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
125069078
IL
207W00000X
Ophthalmology Physician
Primary
2021-00483
NC
207W00000X
Ophthalmology Physician
85048
GA
207WX0120X
Cornea and External Diseases Specialist Physician
2021-00483
NC

Other

Enumeration date
06/05/2016
Last updated
03/31/2021
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