Individual
JONATHAN W ANGELLE
Active
Individual
JONATHAN W ANGELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
62293
TN
208800000X
Urology Physician
82815
GA
Other
Enumeration date
06/27/2014
Last updated
07/15/2021
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