Individual
DR. JONATHAN MARSHALL FLACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1331 MOUNT ZION RD, MORROW, GA 30260-2357
(770) 629-3217
Mailing address
EMMA I DARNELL GERIATRICS CENTER, 80 JESSE HILL JR DRIVE, ATLANTA, GA 30303
(404) 616-7642
(404) 616-2474
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
048148
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048148
STATE LICENSE NUMBER
GA
Enumeration date
06/08/2006
Last updated
01/29/2020
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