Individual
JONATHAN VENABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12016 PAWLEYS MILL CIR, RALEIGH, NC 27614-8040
(919) 412-9552
Mailing address
12016 PAWLEYS MILL CIR, RALEIGH, NC 27614-8040
(919) 412-9552
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/22/2023
Last updated
12/27/2023
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