Individual
MR. JOSE DANNYLO MEJIA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
63 PLOTT ST STE A, BLAIRSVILLE, GA 30512-3666
(706) 745-2968
(706) 970-4201
Mailing address
143 GRACE VALLEY WAY, BLAIRSVILLE, GA 30512-4947
(706) 970-1222
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN187555
GA
363LF0000X
Family Nurse Practitioner
F10200522
GA
363LF0000X
Family Nurse Practitioner
Primary
RN187555
GA
Other
Enumeration date
12/01/2020
Last updated
04/29/2026
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