Individual
JOHNATHAN KHAM SAYALOUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1439 JESSE JEWELL, STE. 301, GAINESVILLE, GA 30501
(770) 219-9445
Mailing address
743 SPRING STREET,, SUITE 710, GAINESILLE, GA 30501
(770) 219-8730
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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