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Individual

JONATHAN EICHORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10628 PARK RD, CHARLOTTE, NC 28210-8407
(704) 667-7070
Mailing address
10628 PARK RD, CHARLOTTE, NC 28210-8407

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2017-01772
NC
207Q00000X
Family Medicine Physician
36687
SC

Other

Enumeration date
02/25/2014
Last updated
02/12/2019
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