Individual
DR. JONATHAN MICHAEL DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 N HIGHLAND AVE NE, UNIT 3312, ATLANTA, GA 30307-5609
(706) 513-0201
Mailing address
240 N HIGHLAND AVE NE, UNIT 3312, ATLANTA, GA 30307-5609
(706) 513-0201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2007-00142
NC
207Q00000X
Family Medicine Physician
Primary
59630
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051230593D
—
GA
Enumeration date
02/18/2007
Last updated
01/09/2011
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