Individual
JASON ALAN CAPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 VAIL AVE, SUITE 200, CHARLOTTE, NC 28207-1248
(704) 323-2000
Mailing address
4601 PARK RD, SUITE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2013-01255
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922212125
—
NC
05
—
NC1892
—
SC
Enumeration date
05/09/2007
Last updated
10/31/2013
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