Individual
DR. JONATHAN AVULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9376 ATLEE STATION RD, MECHANICSVILLE, VA 23116-2602
(804) 730-0990
(804) 730-8752
Mailing address
9376 ATLEE STATION RD, MECHANICSVILLE, VA 23116-2602
(804) 730-0990
(804) 730-8752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101253085
VA
207Q00000X
Family Medicine Physician
0116023490
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C05700
GROUP PTAN
VA
01
—
C09633
GROUP PTAN
VA
Enumeration date
06/21/2011
Last updated
03/31/2026
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