# MR. JONATHAN EDWARD RIORDAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1295309441
- **Gender:** Man
- **Credential:** PA-S

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 10479 | GA | Yes |
| 363AM0700X | Medical Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 05/13/2021
- **Last updated:** 09/14/2021