Individual
DR. JONATHAN DAVID RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 15TH ST # AF-1016, AUGUSTA, GA 30912-0006
(706) 721-4467
(706) 721-9081
Mailing address
1120 15TH ST # AF-1016, AUGUSTA, GA 30912-0006
(706) 721-4467
(706) 721-9081
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
11946
GA
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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