Individual
DR. JOHNATHON ROBERT MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1915 RANDOLPH RD FL 1, CHARLOTTE, NC 28207-1101
(704) 323-3000
(704) 323-3537
Mailing address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 696-2248
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
125.075835
IL
207X00000X
Orthopaedic Surgery Physician
Primary
2025-01219
NC
Other
Enumeration date
03/23/2020
Last updated
07/10/2025
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