DR. JONATHAN MACK, MD
Family Medicine
Active
Individual
NPI: 1013658699
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Family Medicine | 207Q00000X | Yes | 2025-01755 (NC) |
Frequently Asked Questions
NPI 1013658699 is the National Provider Identifier for DR. JONATHAN MACK, MD, a Family Medicine provider located in Winston Salem, NC. This NPI was enumerated on April 6, 2022.
DR. JONATHAN MACK, MD practices at 390 W SALEM AVE, Winston Salem, NC 27101.
Quick Facts
- NPI
- 1013658699
- Type
- Individual
- Enumerated
- Apr 6, 2022
- Last Updated
- Jul 16, 2025
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