Individual
JOHN WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3623 LATROBE DR STE 216, CHARLOTTE, NC 28211-2117
(704) 332-1291
Mailing address
PO BOX 221249, CHARLOTTE, NC 28222-1249
(704) 332-1291
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-15951
NC
363AM0700X
Medical Physician Assistant
PA9106825
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009809200
—
FL
01
—
1376885996
NPI
FL
01
—
HC769Y
MEDICARE
FL
Enumeration date
03/21/2013
Last updated
06/15/2026
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