Individual
JASON W. TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16645 BIRKDALE COMMONS PKWY, STE 200 G, HUNTERSVILLE, NC 28078-5669
(704) 302-8555
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
200400988
NC
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
200400988
NC
2084V0102X
Vascular Neurology Physician
200400988
NC
Other
Enumeration date
02/03/2006
Last updated
07/15/2024
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