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Individual

DR. JONATHAN G VELASQUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1120 MORNINGSIDE DR, PERRY HOSPITAL EMERGENCY DEPARTMENT, PERRY, GA 31069-4948
(478) 997-9237
Mailing address
1030 CHEROKEE RD, PERRY, GA 31069-2243
(478) 997-9237

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
048581
GA

Other

Enumeration date
10/31/2006
Last updated
11/19/2014
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