Individual
JONATHAN ROUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5942 ROSWELL RD, SANDY SPRINGS, GA 30328-4908
(404) 252-2520
Mailing address
5942 ROSWELL RD, SANDY SPRINGS, GA 30328-4908
(404) 252-2520
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO09457
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHIRO09457
CHIROPRACTIC LICENSE
GA
Enumeration date
04/21/2015
Last updated
05/12/2015
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