Individual
JONATHAN KRIS PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1725 NEW HANOVER MEDICAL PARK DR, WILMINGTON, NC 28403-5345
(910) 662-9300
(910) 662-2401
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 662-9300
(910) 662-2401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2020-00376
NC
207RI0200X
Infectious Disease Physician
0116032149
VA
207RI0200X
Infectious Disease Physician
Primary
2020-00376
NC
Other
Enumeration date
05/06/2015
Last updated
11/09/2023
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