DR. Jonathan Charles Lee Mack, MD

NPI #1013658699 in Winston Salem, North Carolina

Provider Information

NPI Number: 1013658699
Entity Type: Individual
Name: DR. Jonathan Charles Lee Mack, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Apr 6, 2022
Last Updated: Jul 16, 2025

Practice Location

Address: 390 W SALEM AVE
City: Winston Salem
State: North Carolina
ZIP Code: 27101-5861
Phone: (336) 721-2375

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Family Medicine	207Q00000X	Primary

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