Individual
JONATHAN OAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4741 RANDOLPH RD STE 100, CHARLOTTE, NC 28211-2919
(704) 365-6730
(704) 365-6731
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-09433
NC
363A00000X
Physician Assistant
PENDING
NC
Other
Enumeration date
08/27/2019
Last updated
09/27/2022
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