Individual
DR. JEREMY LANDVATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D, M.B.A.
Contact information
Practice address
905 JOHNS HOPKINS DR, GREENVILLE, NC 27834-2056
(252) 744-1406
(252) 744-2419
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2020-02931
NC
Other
Enumeration date
01/06/2016
Last updated
07/25/2025
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