Individual
JONATHAN PERSONIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3990 FLOWERS RD STE 530, DORAVILLE, GA 30360-3195
(478) 951-6066
Mailing address
535 HARMONY GROVE RD, LILBURN, GA 30047-6513
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH028558
GA
Other
Enumeration date
04/18/2019
Last updated
08/10/2020
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