Healthcare Provider Details

I. General information

NPI: 1831311679
Provider Name (Legal Business Name): JONATHAN PETER FRENCH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 02/02/2023
Certification Date: 02/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8201 HEALTHCARE LOOP STE 201
CHARLOTTE NC
28215-7072
US

IV. Provider business mailing address

PO BOX 60447
CHARLOTTE NC
28260-0447
US

V. Phone/Fax

Practice location:
  • Phone: 704-367-4800
  • Fax: 980-302-2065
Mailing address:
  • Phone: 704-367-4800
  • Fax: 704-316-3025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number2013-00175
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number201300175
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: