MEDICARE: JONATHAN PETER FRENCH MD

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	208100000X	Physical Medicine & Rehabilitation Physician	2013-00175	NC
2	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	201300175	NC

General Provider Information

NPI Number	:	1831311679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN PETER FRENCH MD

Provider Business Mailing Address
First Line	:	PO BOX 60447
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-0447
Country	:	US
Telephone Number	:	704-367-4800
Fax Number	:	704-316-3025

Provider Business Practice Location Address
First Line	:	8201 HEALTHCARE LOOP STE 201
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-7072
Country	:	US
Telephone Number	:	704-367-4800
Fax Number	:	980-302-2065

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

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	02/02/2023

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