Individual
JONATHAN WALTUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1365 CLIFTON RD NE BLDG A, INTERNAL MEDICINE/RHEUMATOLOGY SUITE 4100, ATLANTA, GA 30322-1013
(404) 778-4366
Mailing address
1365 CLIFTON RD NE BLDG A, INTERNAL MEDICINE/RHEUMATOLOGY SUITE 4100, ATLANTA, GA 30322-1013
(404) 778-4366
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
037103
GA
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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