Individual
JASON BRADLEY NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
794 S MAIN ST STE B, KERNERSVILLE, NC 27284-4074
(336) 904-2317
(336) 443-6030
Mailing address
PO BOX 601843, CHARLOTTE, NC 28260-1843
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02790
NC
Other
Enumeration date
03/02/2011
Last updated
09/16/2022
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