Individual
JONATHAN PERRY HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3624 J DEWEY GRAY CIR STE 302, AUGUSTA, GA 30909-6580
(919) 616-9677
Mailing address
160 SWINTON POND RD, GROVETOWN, GA 30813-5013
(919) 616-9677
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002553
GA
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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