Organization
SOUTHERN ELITE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN W TRONOLONE MD (OWNER)
(229) 238-3034
Entity
Organization
Contact information
Practice address
1499 KENNEDY RD STE B, TIFTON, GA 31794-4177
(229) 238-3034
(229) 238-3027
Mailing address
1499 KENNEDY RD STE B, TIFTON, GA 31794-4177
(229) 238-3034
(229) 238-3027
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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