Jacob Ethan New
NPI #1811759988 in Charlotte, North Carolina
Provider Information
- NPI Number
- 1811759988
- Entity Type
- Individual
- Name
- Jacob Ethan New
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist
- Enumeration Date
- Jan 25, 2024
- Last Updated
- Jan 25, 2024
Practice Location
- Address
- 4108 PARK RD STE 205
- City
- Charlotte
- State
- North Carolina
- ZIP Code
- 28209-2260
- Phone
- (704) 248-7557
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist |
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