Individual
JONATHAN STOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
1412 MILSTEAD AVE NE, CONYERS, GA 30012-3877
(770) 918-3000
Mailing address
50 BERKSHIRE PASS, COVINGTON, GA 30016-8067
(678) 895-4598
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN245165
GA
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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