Individual
JASON P GAJDZIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
15825 BALLANTYNE MEDICAL PL, #100, CHARLOTTE, NC 28277-4652
(704) 323-3400
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
0010-05087
NC
Other
Enumeration date
09/27/2006
Last updated
01/22/2015
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