Jason Levine

NPI 1982267688 · on the registry since 2019 · sole proprietor

Practice

Address: 5104 Reagan Dr Ste 13
Charlotte, NC 28206
Phone: (704) 713-5455
Organisation at this address: We Are One Village
Phd Laboratory Llc
Accessible Enterprise
Mdfamily Medical Group
Genesis Project 1, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Also registered as: 101YA0400X
101YA0400X
Licence states on file: NC
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-10-25

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