Individual provider · Type 1 NPI

Jack Lee Crain, MD

Specialist · Charlotte, NC

NPI number 1073583555 Active

Practice location

1524 E Morehead St
Charlotte, NC 28207-1606

Call (704) 343-4452 Map

Fax (704) 343-3428

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1073583555

Jack Lee Crain, MD's National Provider Identifier is 1073583555, issued on Jan 25, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 13, 2026.