Individual
JONATHAN MARK ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7210 VILLAGE MEDICAL CIR STE 110, CLEMMONS, NC 27012-8041
(336) 893-2400
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-05811
NC
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
05/26/2015
Last updated
08/07/2024
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