Individual
DR. JONATHAN LEE ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
505 IRVIN CT STE 101, DECATUR, GA 30030-1780
(404) 297-0821
Mailing address
25 HALEY DR, DAWSONVILLE, GA 30534-6597
(706) 974-3792
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015568
GA
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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