Provider Demographics
NPI:1295126415
Name:OGLESBY, JAMES JR
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:OGLESBY
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 RANDOLPH RD
Mailing Address - Street 2:NOVANT HEALTH CHARLOTTE ORTHOPEDIC HOSPITAL
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28207-1101
Mailing Address - Country:US
Mailing Address - Phone:704-316-5319
Mailing Address - Fax:704-417-4735
Practice Address - Street 1:1901 RANDOLPH RD
Practice Address - Street 2:NOVANT HEALTH CHARLOTTE ORTHOPEDIC HOSPITAL
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207-1101
Practice Address - Country:US
Practice Address - Phone:704-316-5319
Practice Address - Fax:704-417-4735
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-10
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13212255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer