Individual
JONATHAN DAVID BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
470 NORTHSIDE CHEROKEE BLVD STE 170, CANTON, GA 30115-8029
(770) 721-9540
(770) 721-9541
Mailing address
1467 BROOKFIELD DR, MORRISTOWN, TN 37814-8002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6636
GA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/10/2012
Last updated
01/08/2020
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