JONATHAN BYRON LIVELY

CHARLOTTE, NC
NPI1598371320
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-10599)
Enumeration Date2020-09-17
Last Update Date2023-12-18
Business Address
JONATHAN BYRON LIVELY PA
1426 E MOREHEAD ST
CHARLOTTE, NC 28204-2926
Phone number: 704-446-6090
Mailing Address
JONATHAN BYRON LIVELY PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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