JONATHAN BROCKMEYER MARDIS

CHARLOTTE, NC
NPI1215746698
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MS  152511)
Enumeration Date2024-12-31
Last Update Date2024-12-31
Business Address
Mr. JONATHAN BROCKMEYER MARDIS DNP, CRNA
200 HAWTHORNE LN
CHARLOTTE, NC 28204-2515
Phone number: 704-384-4000
Mailing Address
Mr. JONATHAN BROCKMEYER MARDIS DNP, CRNA
1290 W GOVERNMENT ST APT T158
BRANDON, MS 39042-2445
Phone number: 601-938-0322