Individual
JONATHON WESLEY CAPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1111 GLYNCO PKWY BLDG 1, STE 10, BRUNSWICK, GA 31525
(912) 264-9111
Mailing address
1111 GLYNCO PKWY BLDG 1, STE 10, BRUNSWICK, GA 31525
(912) 264-9111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/14/2018
Last updated
10/15/2018
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