Individual
JONATHAN ANTONETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 22ND ST S # JNWB103, BIRMINGHAM, AL 35233-3110
(205) 516-3521
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
37955
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2017
Last updated
08/21/2025
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