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Search › North Carolina › 363A00000X

Jason Licht, PA-C

NPI 1073533410 · on the registry since 2006 · sole proprietor

Practice

Address
3000 New Bern Ave
Suite 1200
Raleigh, NC 27610
Phone
(919) 231-6132
Fax
(919) 231-6276
Organisation at this address
Wakemed
Wakemed
Wakemed
Wakemed Op Llc
Wakemed Health & Hospitals
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,059

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AM0700X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-27

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