MEDICARE: NATHANIEL JAY RAMSEY PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AS0400X	Surgical Physician Assistant	011678-1	NY
2	363A00000X	Physician Assistant	0010-06369	NC

General Provider Information

NPI Number	:	1023173002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHANIEL JAY RAMSEY PA

Provider Business Mailing Address
First Line	:	PO BOX 60447
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-0447
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6324 FAIRVIEW RD STE 440
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28210-4278
Country	:	US
Telephone Number	:	704-384-1407
Fax Number	:	704-384-1408

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	05/27/2025

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