Individual
JONATHAN COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
420 PARK ST, BELMONT, NC 28012-3393
(704) 631-1820
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-04733
NC
363A00000X
Physician Assistant
3513
SC
Other
Enumeration date
01/14/2014
Last updated
04/14/2022
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