Individual
JONATHAN POLSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
4525 CAMERON VALLEY PKWY, SUITE 2500, CHARLOTTE, NC 28211-4369
(704) 512-6293
Mailing address
4525 CAMERON VALLEY PKWY, SUITE 2500, CHARLOTTE, NC 28211-4369
(704) 512-6293
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
651
NC
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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