Individual
JONATHAN LOEL WURL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 REDMOND RD NW, ANESTHESIOLOGY DEPARTMENT, ROME, GA 30165-1415
(706) 291-0291
Mailing address
694 AUTRY RD NE, ADAIRSVILLE, GA 30103-4425
(770) 877-3146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
043825
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000749691C
—
GA
05
—
000749691D
—
GA
01
—
P00222658
RAILROAD MEDICARE
GA
Enumeration date
05/31/2006
Last updated
12/08/2008
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