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Individual

DR. JONATHAN RICHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3200 DOWNWOOD CIR NW STE 640-4, ATLANTA, GA 30327-1610
(404) 778-7290
Mailing address
2021 PERDIDO ST STE 4344, NEW ORLEANS, LA 70112-1352
(205) 568-2577

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
17607
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
09/21/2024
Last updated
03/26/2026
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