Individual
JONATHAN LEE FAGGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
354 COPPERFIELD BLVD NE, CONCORD, NC 28025-2402
(704) 323-2000
Mailing address
4601 PARK RD, SUITE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-01663
NC
Other
Enumeration date
01/06/2009
Last updated
04/17/2023
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