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Individual

DR. GLENN J. JONAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
270 CHASTAIN RD NW, KENNESAW, GA 30144-3012
(770) 421-8005
(770) 424-5662
Mailing address
270 CHASTAIN RD NW, KENNESAW, GA 30144-3012
(770) 421-8005
(770) 424-5662

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
038820
GA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
038820
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000625633B
GA
05
000625633D
GA
05
000625633E
GA
05
000625633G
GA
05
000625633H
GA
Enumeration date
09/30/2005
Last updated
04/24/2017
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