Individual
MR. JASON PANTAGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO, MSPO
Contact information
Practice address
200 TIMBERHILL PL UNIT 203, CHAPEL HILL, NC 27514-1964
(919) 945-0215
Mailing address
200 TIMBERHILL PL UNIT 203, CHAPEL HILL, NC 27514-1964
(919) 945-0215
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
NC
224P00000X
Prosthetist
—
NC
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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