Individual
JONATHAN PAUL RODIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060-1155
(770) 424-6893
(770) 528-9938
Mailing address
55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060-1155
(770) 424-6893
(770) 528-9938
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5261
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
352355652F
—
GA
05
—
352355652G
—
GA
05
—
352355652H
—
GA
Enumeration date
05/14/2008
Last updated
07/08/2021
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