Individual
JONATHAN ANTHONY AVALLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1210 W FARIS RD, GREENVILLE, SC 29605-4444
(864) 522-1800
(864) 522-1806
Mailing address
300 E MCBEE AVE STE 300, GREENVILLE, SC 29601-2899
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
95484
SC
2085R0202X
Diagnostic Radiology Physician
MD475244
PA
Other
Enumeration date
05/22/2019
Last updated
10/10/2025
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