JONATHON J HENNESSEE

OWENSVILLE PRIMARY CARE, INC

Dr JONATHON J HENNESSEE is a male medical professional, specializing in Family Medicine. He graduated in 2010 from Western Univ Of Health Sciences Col Of Dental Med, Pomona Ca.

Contact

OWENSVILLE PRIMARY CARE, INC

134 OWENSVILLE RD
WEST RIVER
MD
207789998

Tel: 4108674700

JONATHON J HENNESSEE Information

Npi 1972814192
Pac Id 0446494389
Professional Enrollment Id I20130917000014
Last Name HENNESSEE
First Name JONATHON
Middle Name J
Suffix
Gender M
Credential
Medical School Name WESTERN UNIV OF HEALTH SCIENCES COL OF DENTAL MED, POMONA CA
Graduation Year 2010
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name OWENSVILLE PRIMARY CARE, INC
Group Practice Pac Id 0244229474
Number Of Group Practice Members 3
Line 1 Street Address 134 OWENSVILLE RD
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Marker Of Address Line 2 Suppression
City WEST RIVER
State MD
Zip Code 207789998
Phone Number 4108674700
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
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Hospital Affiliation Ccn 3
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Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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