Jason Shade Burgess, MD

NPI #1043201361 in Charlotte, North Carolina

Provider Information

NPI Number: 1043201361
Entity Type: Individual
Name: Jason Shade Burgess, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Nov 4, 2005
Last Updated: Nov 5, 2025

Practice Location

Address: 1918 RANDOLPH RD STE 300
City: Charlotte
State: North Carolina
ZIP Code: 28207-1112
Phone: (704) 333-0741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X
Surgery	208600000X	Primary

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