Individual
JASON ANDREW DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
16525 HOLLY CREST LN, SUITE 120, HUNTERSVILLE, NC 28078-4909
(704) 316-5388
(704) 316-1848
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-5388
(704) 316-1848
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001004349
NC
Other
Enumeration date
07/01/2013
Last updated
10/28/2020
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