Individual
JONATHAN MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7144 VILLAGE MEDICAL CIR, CLEMMONS, NC 27012-8004
(336) 893-2460
Mailing address
PO BOX 601791, CHARLOTTE, NC 28260-1791
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P10990
NC
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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