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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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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