Individual
JONATHAN MORATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-7005
Mailing address
641 VISTA DR, GROVETOWN, GA 30813-5608
(706) 691-4205
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16477
GA
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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