Individual
DR. JONATHAN SHEA DIRUZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1133 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5085
(678) 604-1053
Mailing address
860 PEACHTREE ST NE UNIT 2009, ATLANTA, GA 30308-1278
(404) 354-8148
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0000046012
TN
207L00000X
Anesthesiology Physician
296382
NY
207L00000X
Anesthesiology Physician
Primary
66280
GA
Other
Enumeration date
11/20/2007
Last updated
03/29/2023
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