Individual
JONATHAN ANDREW MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-7005
Mailing address
1481 LANEY WALKER BLVD, AUGUSTA, GA 30912-0002
(706) 721-4686
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
104111
GA
208600000X
Surgery Physician
71073
TN
Other
Enumeration date
05/05/2017
Last updated
10/09/2025
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