Individual
JONATHAN LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 JONES AVE, WAYNESBORO, GA 30830-1509
(706) 702-5636
Mailing address
351 S LIBERTY ST, WAYNESBORO, GA 30830-9686
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
93700
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
93700
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2017
Last updated
11/04/2022
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