Individual
JONATHAN W PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 966-8596
Mailing address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 966-8596
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2013-02332
NC
Other
Enumeration date
07/14/2009
Last updated
07/07/2014
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