Provider Demographics
NPI:1366542516
Name:LOCKE, JONATHAN GEORGE (DC)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:GEORGE
Last Name:LOCKE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6800 DANBERS CT
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:NC
Mailing Address - Zip Code:27310-9648
Mailing Address - Country:US
Mailing Address - Phone:336-937-0442
Mailing Address - Fax:336-390-3770
Practice Address - Street 1:1495 RYMCO DR
Practice Address - Street 2:105
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-2947
Practice Address - Country:US
Practice Address - Phone:336-937-0442
Practice Address - Fax:336-390-3770
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC3457111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor