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Individual

JONATHAN B GUNTHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(770) 624-4708
Mailing address
8830 WATKINS AVE, FORT MOORE, GA 31905-5529
(770) 544-0188

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
08/04/2023
Last updated
10/17/2024
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