Individual
MR. JONATHAN WALRATH
Active
Individual
MR. JONATHAN WALRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
R4541
KY
207R00000X
Internal Medicine Physician
Primary
85842
GA
390200000X
Student in an Organized Health Care Education/Training Program
R4541
KY
Other
Enumeration date
03/23/2017
Last updated
01/21/2021
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