Individual
MR. JONATHAN LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1745 PHOENIX BLVD STE 300-335, COLLEGE PARK, GA 30349-5591
(929) 884-5613
(347) 577-9445
Mailing address
1745 PHOENIX BLVD STE 300-335, COLLEGE PARK, GA 30349-5591
(929) 884-5613
(347) 577-9445
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
003291819A
GA
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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