Search › North Carolina › 363A00000X
Jonathan Lively, PA
NPI 1598371320 · on the registry since 2020
Practice
- Address
- 1426 E Morehead St
Charlotte, NC 28204 - Phone
- (704) 446-6090
- Organisation at this address
- Carolinas Physicians Network Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Additional practice sites
- 10210 Couloak Dr, Charlotte, NC
- 5727 Prosperity Crossing Dr, Charlotte, NC
- 5717 Albemarle Rd, Charlotte, NC
- 7810 Providence Rd, Charlotte, NC
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina