Individual
JOHNATHON SCHMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
150 CARNEGIE PL STE 102, FAYETTEVILLE, GA 30214-3900
(177) 069-4634
Mailing address
150 CARNEGIE PL STE 102, FAYETTEVILLE, GA 30214-3900
(770) 694-6349
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/06/2021
Last updated
12/03/2022
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