Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN CHARLES LEE MACK, MD
ActiveDR. JONATHAN CHARLES LEE MACK, MD is a Family Medicine healthcare provider located in WINSTON SALEM, North Carolina. NPI 1013658699 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · WINSTON SALEM, NC
Registration Details
- NPI Number
- 1013658699
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 6, 2022 (4.3663199357801 yrs)
- Last Updated
- Jul 16, 2025
- License
-
2025-01755 (NC)
Practice Information
- Address
-
390 W SALEM AVEWINSTON SALEM, NC, 271015861Browse NC providers · Browse ZIP 27101
- Phone
- 3367212375
- Fax
- 3367212394
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in WINSTON SALEM, NC
| Name | Credential | NPI |
|---|---|---|
| DR. NAGARAJA VISHAKANTAIAH | MD | 1376541581 |
| STEWART COOPER | MD | 1396737508 |
| MS. LORAY ANTOINETTE BLAIR-BRITT | M.D. | 1932191400 |
| DR. BRUCE EDWARD LANTELME | MD | 1770576019 |
| WALTER AZUBUIKE EZEIGBO | MD | 1306839659 |
| DR. ANITHA LOKESH | M.D. | 1861487860 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.