Individual
JOHNATHAN KEITH COLTON JERRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
300 BUCKHEAD AVE NE, ATLANTA, GA 30305-3063
(404) 400-2800
Mailing address
31 COVENTRY DR SE, ROME, GA 30161-8412
(706) 248-5048
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10188
GA
Other
Enumeration date
11/30/2020
Last updated
03/26/2026
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