Jonathan Lance Underwood, MD
Internal Medicine in Valdosta, GA. Individual provider (NPI-1).
NPI number1265612972
StatusActive
Last updated in NPPESJun 23, 2011
Details
- NPI
- 1265612972
- Entity type
- Individual (NPI-1)
- Name
- Jonathan Lance Underwood
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 9, 2007
- Last updated
- Jun 23, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 002394 | GA | Yes |
Practice location
3207 Country Club RdValdosta, GA 31605-1029
Phone 229-242-8480 · Fax 229-241-0252
Mailing address
3207 Country Club RdValdosta, GA 31605-1029
Phone 229-242-8480 · Fax 229-241-0252
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