Individual provider · Type 1 NPI
Jonathan Blair Bethiel, MD
Student in an Organized Health Care Education/Training Program · Winston Salem, NC
Practice location
1 Medical Center Blvd
Winston Salem, NC 27157-0001
Mailing address
272 Choice Trl
Pittsboro, NC 27312-9545
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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About NPI 1124871835
Jonathan Blair Bethiel, MD's National Provider Identifier is 1124871835, issued on Apr 10, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Winston Salem, NC. The record was last updated on Apr 12, 2024.