Individual
DR. JONATHAN GADDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
112 S SHARON AMITY RD, CHARLOTTE, NC 28211-2802
(704) 366-5684
(704) 366-1598
Mailing address
112 S SHARON AMITY RD, CHARLOTTE, NC 28211-2802
(704) 366-5684
(704) 366-1598
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
12325
SC
183500000X
Pharmacist
Primary
15937
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518259613
NPI
NC
Enumeration date
07/23/2016
Last updated
07/23/2016
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