Individual
JONATHAN DVORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1523 ELIZABETH AVE STE 200, CHARLOTTE, NC 28204-2794
(704) 910-1402
(704) 910-1402
Mailing address
1523 ELIZABETH AVE STE 200, CHARLOTTE, NC 28204-2794
(704) 910-1402
(704) 910-1402
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2021-00162
NC
Other
Enumeration date
04/24/2017
Last updated
02/05/2021
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