Jaesan PC
NPI #1003940933 in Charlotte, North Carolina
Provider Information
- NPI Number
- 1003940933
- Entity Type
- Organization
- Organization Name
- Jaesan PC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Mar 15, 2007
- Last Updated
- Oct 27, 2021
Practice Location
- Address
- 3116 MILTON RD STE F
- City
- Charlotte
- State
- North Carolina
- ZIP Code
- 28215-5079
- Phone
- (980) 237-6226
Authorized Official
- Name
- KAI ANE JERRELL, M.A., CCC-SLP
- Title
- CEO/OWNER
- Phone
- (980) 237-6226
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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