Flacker, Jonathan Marshall

Flacker, Jonathan Marshall is an individual health care provider with primary practice located at 1331 Mount Zion Rd , Morrow GA 30260-2357. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Flacker, Jonathan Marshall can be contacted via phone (770) 629-3217.

Contact Information

Primary practice address
1331 Mount Zion Rd Morrow GA 30260-2357
Phone: (770) 629-3217
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 048148 Georgia

Profile Details

NPI number 1568402162
LBN Legal business name Flacker, Jonathan Marshall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jan 29th, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1568402162 NPPES
Georgia Other 048148 STATE LICENSE NUMBER

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