JASON SHADE BURGESS

CHARLOTTE, NC
NPI1043201361
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: NC  200200093)
Additional Taxonomies2086S0129X 
(Licence: NC  200200093)
Enumeration Date2005-11-04
Last Update Date2025-03-26
Business Address
JASON SHADE BURGESS MD
2001 VAIL AVE STE 320
CHARLOTTE, NC 28207-1222
Phone number: 704-333-0741
Mailing Address
JASON SHADE BURGESS MD
PO BOX 604350
CHARLOTTE, NC 28260-4350
Phone number: 704-364-8100
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