JOHNATHAN KEITH COLTON JERRIS

SMYRNA, GA
NPI1093310021
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: GA  10188)
Enumeration Date2020-11-30
Last Update Date2021-01-21
Business Address
JOHNATHAN KEITH COLTON JERRIS PA
3903 S COBB DR SE
SMYRNA, GA 30080-8504
Phone number: 770-435-3214
Mailing Address
JOHNATHAN KEITH COLTON JERRIS PA
914 COLLIER RD NW APT 4002
ATLANTA, GA 30318-2581
Phone number: 706-266-4809
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