JONATHAN L UNDERWOOD

PRIVIA MEDICAL GROUP OF GEORGIA LLC

Dr JONATHAN L UNDERWOOD is a male medical professional, specializing in Internal Medicine. He graduated in 2007.

Contact

PRIVIA MEDICAL GROUP OF GEORGIA LLC

101 YORKTOWN DR
SUITE 100
FAYETTEVILLE
GA
302147663

Tel: 7704604285

JONATHAN L UNDERWOOD Information

Npi 1265612972
Pac Id 6406040005
Professional Enrollment Id I20101027001264
Last Name UNDERWOOD
First Name JONATHAN
Middle Name L
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2007
Primary Specialty INTERNAL MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PRIVIA MEDICAL GROUP OF GEORGIA LLC
Group Practice Pac Id 4284951542
Number Of Group Practice Members 204
Line 1 Street Address 101 YORKTOWN DR
Line 2 Street Address SUITE 100
Marker Of Address Line 2 Suppression
City FAYETTEVILLE
State GA
Zip Code 302147663
Phone Number 7704604285
Hospital Affiliation Ccn 1 110122
Hospital Affiliation Lbn 1 SOUTH GEORGIA MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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