Individual
JASON PAUL HANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 LEPHILLIP COURT, NE, CONCORD, NC 28025-2900
(704) 782-1127
(704) 782-1207
Mailing address
201 LEPHILLIP COURT, NE, CONCORD, NC 28025-2900
(704) 782-1127
(704) 782-1207
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
200900527
NC
207W00000X
Ophthalmology Physician
LL 27940
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153EP
BLUE CROSS BLUE SHIELD OF NC
NC
01
—
5912404
MEDICAID
NC
Enumeration date
03/15/2007
Last updated
10/14/2009
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