Individual
DR. JAY WALDRON PATTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3623 LATROBE DR, SUITE 216, CHARLOTTE, NC 28211
(704) 332-1291
(704) 332-5206
Mailing address
PO BOX 221249, CHARLOTTE, NC 28222-1249
(704) 332-1291
(704) 332-5206
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2008-00201
NC
2085R0202X
Diagnostic Radiology Physician
219877
MA
Other
Enumeration date
11/04/2005
Last updated
09/13/2020
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