Organization
JONATHAN VELASQUEZ, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN VELASQUEZ MD (OWNER)
(478) 224-3322
Entity
Organization
Contact information
Practice address
1118 MORNINGSIDE DR, SUITE A, PERRY, GA 31069-4948
(478) 224-3322
(478) 224-3325
Mailing address
1118 MORNINGSIDE DR, SUITE A, PERRY, GA 31069-4948
(478) 224-3322
(478) 224-3325
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
048581
GA
Other
Enumeration date
01/28/2008
Last updated
12/30/2008
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