Jacob Ethan New
Jacob Ethan New is a Technician/Technologist in Charlotte, North Carolina. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
4108 Park Rd Ste 205Charlotte, NC 28209-2260
Phone: (704) 248-7557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Technician/Technologist (primary) | Taxonomy 156F00000X |
|---|
Record details
| NPI number | 1811759988 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 25, 2024 |
| Last updated in NPPES | January 25, 2024 |
| Certification date | January 25, 2024 |
| Mailing address | 629 Randon Ter Fl 32746, Lake Mary, FL 32746-2636 |
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