Individual
JONATHAN WHITTINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
5788 ROSWELL RD, ATLANTA, GA 30328-4904
(404) 935-9110
(678) 530-1042
Mailing address
2252 FAIROAKS CT, DECATUR, GA 30033-1206
(404) 247-3244
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AL4216
FL
2255A2300X
Athletic Trainer
Primary
AT002782
GA
246ZX2200X
Orthopedic Assistant
—
—
Other
Enumeration date
09/18/2014
Last updated
05/30/2016
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