DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JONATHAN ROBERT BALTZELL, PA-C

Active

Physician Assistant · CHARLOTTE, NC

Registration Details

NPI Number
1457350258
Provider Type
Individual
Gender
Male
NPI Issued
Jul 14, 2005 (20.770649406138 yrs)
Last Updated
Apr 1, 2014
License
102359 (NC)

Practice Information

Address
10210 COULOAK DR
SUITE E
CHARLOTTE, NC, 282167679
Browse NC providers · Browse ZIP 28216
Phone
7048012000
Fax
7048012001
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in CHARLOTTE, NC

Name Credential NPI
MRS. JENNIFER MARIE HULL PA-C 1437154093
MS. JENNIFER ANN FARRES PA-C 1598763054
LAWRENCE HENRY BRACCIA PA-C 1700885514
KEVIN ROLANDO WILLIAMS PA 1053312082
MRS. KELLY L. STAFFORD PA-C 1184626806
MR. STEVEN CRAIG FRANTZ PA-C 1114919743
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.