Individual
MANISH JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MEDICAL PARK DR, STE 210, CONCORD, NC 28025-2948
(704) 403-6100
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2008-00258
NC
207RC0000X
Cardiovascular Disease Physician
2008-00258
NC
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
2008-00258
NC
Other
Enumeration date
05/21/2007
Last updated
07/18/2024
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