Provider Demographics
NPI:1508880873
Name:MCMATH, JONATHAN C (MD)
Entity Type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:C
Last Name:MCMATH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:321 MULBERRY ST SW
Mailing Address - Street 2:MEDICAL STAFF SERVICES
Mailing Address - City:LENOIR
Mailing Address - State:NC
Mailing Address - Zip Code:28645-5720
Mailing Address - Country:US
Mailing Address - Phone:828-757-5965
Mailing Address - Fax:828-757-5104
Practice Address - Street 1:4355 HICKORY BLVD STE 2
Practice Address - Street 2:
Practice Address - City:GRANITE FALLS
Practice Address - State:NC
Practice Address - Zip Code:28630-2014
Practice Address - Country:US
Practice Address - Phone:828-757-5050
Practice Address - Fax:828-757-5051
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2021-03-31
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Provider Licenses
StateLicense IDTaxonomies
NC201301476208000000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics