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1538305073
JONATHAN LEE FAGGART
CONCORD, NC
NPI
1538305073
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-01663)
Enumeration Date
2009-01-06
Last Update Date
2023-04-17
Business Address
JONATHAN LEE FAGGART PA
354 COPPERFIELD BLVD NE
CONCORD, NC 28025-2402
Phone number: 704-323-2000
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Mailing Address
JONATHAN LEE FAGGART PA
4601 PARK RD SUITE 300
CHARLOTTE, NC 28209-3239
Phone number: 704-323-2000
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