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Individual

MR. JONATHAN STEVE HORSFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AA-C

Contact information

Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 794-0477
(770) 794-3108
Mailing address
5310 SLOAN SQ NE, ATLANTA, GA 30329-4307
(618) 219-0729

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary

Other

Enumeration date
09/09/2011
Last updated
08/28/2019
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