Individual provider · NPI-1

Dr. Jonathan Allen Adams, DO

Family Medicine · Charlotte, NC

NPI number1215566575
StatusActive
Last updated in NPPESJul 24, 2023

Details

NPI
1215566575
Entity type
Individual (NPI-1)
Name
Dr. Jonathan Allen Adams
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Apr 7, 2020
Certification date
Jul 24, 2023
Last updated
Jul 24, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine2023-01935NCYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

7903 Providence Rd Ste 100
Charlotte, NC 28277-9763

Phone 704-316-4460 · Fax 704-316-4466

Mailing address

Po Box 60447
Charlotte, NC 28260-0447

Other practice locations

1100 Reid Pkwy
Richmond, IN 47374-1157

Phone 765-935-8808

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