Underwood, Jonathan Lance
Underwood, Jonathan Lance is an sole proprietor health care provider with primary practice located at 3207 Country Club Rd , Valdosta GA 31605-1029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Underwood, Jonathan Lance can be contacted via phone (229) 242-8480.Contact Information
Primary practice address
3207 Country Club Rd
Valdosta GA 31605-1029
Phone: (229) 242-8480
Fax: (229) 241-0252
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 002394 | Georgia |
Profile Details
| NPI number | 1265612972 |
|---|---|
| LBN Legal business name | Underwood, Jonathan Lance |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2007 |
| Last updated | Jun 23rd, 2011 - about 13 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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