Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 4510 | SC |
N | 111N00000X | Chiropractor | 4882 | NC |
Y | 111NN0400X | Neurology | 4510 | SC |
N | 111NN0400X | Neurology | 4882 | NC |
NPI | 1538664792 |
---|---|
Provider Name | Dr. Jonathan Quinn Ward |
First Address | Inman, SC 29349-8337 |
Second Address | Spruce Pine, NC 28777-6160 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2018 |
Last Update Date | 24/09/2021 |