Individual
MR. JON PAUL HENDERSHOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2001 VAIL AVE STE 200A, CHARLOTTE, NC 28207-1222
(704) 323-2564
(732) 840-2088
Mailing address
4601 PARK RD, STE 300, CHARLOTTE, NC 28209-2290
(704) 323-2090
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06586
NC
Other
Enumeration date
07/14/2006
Last updated
01/06/2023
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