person
Jonathan Dvorak
General Practice Physician in Charlotte, North Carolina
NPI 1912432386

Jonathan Dvorak is a General Practice Physician based in Charlotte, NC. Jonathan Dvorak practices in Charlotte, NC. The NPI Number for Jonathan Dvorak is 1912432386 and holds a License No. 2021-00162 (North Carolina).

The current practice location address for Jonathan Dvorak is 1523 Elizabeth Ave Ste 200, Charlotte, NC and can be reached out via phone at 704-910-1402 and via fax at 704-910-1402.

Location: 1523 Elizabeth Ave Ste 200, Charlotte, NC, 28204-2794
person
Provider Profile Details
NPI Number
1912432386
Provider Name
Jonathan Dvorak
Credential
Provider Entity Type
Individual
Gender
Male
Address
1523 Elizabeth Ave Ste 200, Charlotte, NC, 28204-2794
Phone Number
704-910-1402
Fax Number
704-910-1402
Provider Enumeration Date
04/24/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1523 Elizabeth Ave Ste 200
City
State
Zip
28204-2794
Phone Number
704-910-1402
Fax Number
704-910-1402
person
Provider Business Mailing Address Details
Address
1523 Elizabeth Ave Ste 200
City
State
Zip
28204-2794
Phone Number
704-910-1402
Fax Number
704-910-1402
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
2021-00162 (North Carolina)
Definition
Definition to come...
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