Individual
DR. JONATHAN MAURICE WORTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 CLIFTON RD NE, MAILSTOP E-10, ATLANTA, GA 30329-4018
(404) 639-8955
(404) 639-9967
Mailing address
1600 CLIFTON RD NE, MAILSTOP E-10, ATLANTA, GA 30329-4018
(404) 639-8955
(404) 639-9967
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
66343
GA
Other
Enumeration date
01/26/2011
Last updated
10/30/2022
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