# JAD MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548591399
- **Authorized official:** JOANN DONALDSON MD (CEO/ FAMILY PRACTICE PHYSICIAN)
- **Authorized official phone:** (404) 704-7519

## Contact information

- **Practice address:** 510 SWANSON RD, TYRONE, GA 30290-6900
- **Practice address phone:** (770) 964-5230
- **Practice address fax:** (770) 964-5260
- **Mailing address:** 510 SWANSON RD, TYRONE, GA 30290-6900
- **Mailing address phone:** (770) 964-5230
- **Mailing address fax:** (770) 964-5260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 032720 | GA | Yes |

## Other

- **Enumeration date:** 01/19/2010
- **Last updated:** 01/19/2010