Individual
DR. JONATHAN DEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3511 W MARKET ST STE 100, GREENSBORO, NC 27403-4444
(336) 522-8999
(336) 522-8998
Mailing address
1200 N ELM ST, GREENSBORO, NC 27401-1004
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
2021-01984
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/29/2015
Last updated
03/20/2026
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