Individual provider · Type 1 NPI

Jonathan Charles Lee Mack, MD

Family Medicine Physician · Winston Salem, NC

NPI number 1013658699 Active

Practice location

390 W Salem Ave
Winston Salem, NC 27101-5861

Call (336) 721-2375 Map

Fax (336) 721-2394

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 11234 Anderson St, Loma Linda, CA 92354-2804 · (909) 558-6688

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Medicine Physician Primary 207Q00000X2025-01755 (NC)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1013658699

Jonathan Charles Lee Mack, MD's National Provider Identifier is 1013658699, issued on Apr 6, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Winston Salem, NC. The record was last updated on Jul 16, 2025.