Kerrick, Jonathan G.

Kerrick, Jonathan G. is an individual health care provider with primary practice located at 1315 Jesse Jewell Pkwy Ne Suite 300, Gainesville GA 30501-3822. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Kerrick, Jonathan G. can be contacted via phone (770) 219-6520.

Contact Information

Primary practice address
1315 Jesse Jewell Pkwy Ne Suite 300 Gainesville GA 30501-3822
Phone: (770) 219-6520
Fax: (770) 219-6521
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 055853 Georgia

Profile Details

NPI number 1871565002
LBN Legal business name Kerrick, Jonathan G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Dec 2nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871565002 NPPES
Georgia Other 52182967 BCBS
Georgia MEDICAID 461306198D BCBS
Georgia Other 10045388 BCBS
Georgia MEDICAID 461306198B BCBS
Georgia Other 340860 BCBS
Georgia Other 7769920 BCBS

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