JONATHAN LANCE UNDERWOOD

VALDOSTA, GA
NPI1265612972
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: GA  002394)
Enumeration Date2007-11-09
Last Update Date2011-06-23
Business Address
-- JONATHAN LANCE UNDERWOOD MD
3207 COUNTRY CLUB RD
VALDOSTA, GA 31605-1029
Phone number: 229-242-8480
Mailing Address
-- JONATHAN LANCE UNDERWOOD MD
3207 COUNTRY CLUB RD
VALDOSTA, GA 31605-1029
Phone number: 229-242-8480
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