Whalio Doctors

NPI 1013968858

Richard David Jacobson, MDPHD

Practitioner Neurology with Special Qualifications in Child Neurology Physician Charlotte, NC

Practice location

Address
4228 Brookfield Dr, Charlotte, NC 28210
Phone
(615) 345-5400
Mailing address
3 Maryland Farms STE 200, Brentwood, TN 37027-5005

Registered specialties (4)

Neurology with Special Qualifications in Child Neurology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084N0402X Licence 01389 (NC)
Neurology Physician
Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence 31216 (WI)
Neurology Physician
Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence ME127847 (FL)
Neurology with Special Qualifications in Child Neurology Physician
Allopathic & Osteopathic Physicians Taxonomy 2084N0402X Licence ME127847 (FL)

Registry record

NPI
1013968858
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 May 2006
Record last updated
6 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.