Search › North Carolina › 207Q00000X
Jonathan Mack, MD
NPI 1013658699 · on the registry since 2022
Practice
- Address
- 390 W Salem Ave
Winston Salem, NC 27101 - Phone
- (336) 721-2375
- Fax
- (336) 721-2394
- Organisation at this address
- Novant Medical Group, Inc.
Novant Health Medical Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Additional practice sites
- 11234 Anderson St, Loma Linda, CA
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-07-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina