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Jonathan Marshall Flacker, M.D. Valid NPI

Individual provider · Geriatric Medicine (Internal Medicine) Physician · Morrow, GA

NPI
1568402162
Type
Individual (Type 1)
Primary specialty
Geriatric Medicine (Internal Medicine) Physician (Internal Medicine)
Specialty group
Allopathic & Osteopathic Physicians
Taxonomy code
207RG0300X
License number
048148 (GA)
Sex
Male
Sole proprietor
No
Enumerated
2006-06-08
Last updated
2020-01-29
Practice location
1331 Mount Zion Rd
Morrow, GA 30260-2357
(770) 629-3217

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Jonathan Marshall Flacker, M.D. — NPI 1568402162