Individual
MR. JONATHAN EDWARD RIORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
275 COLLIER RD NW STE 300, ATLANTA, GA 30309-1740
(404) 350-0009
Mailing address
1011 RIDGECREST DR SE, SMYRNA, GA 30080-4230
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10479
GA
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
05/13/2021
Last updated
09/14/2021
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