Jonathan Maxwell Chrisenberry Threadgill
Oral and Maxillofacial Surgeon
1000 Johnson Ferry Rd Bldg H
Marietta
, Georgia 30068-5518
Jonathan Maxwell Chrisenberry Threadgill
Oral and Maxillofacial Surgeon
1000 Johnson Ferry Rd Bldg H
Marietta
, Georgia 30068-5518
(678) 483-8487
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Jonathan Maxwell Chrisenberry Threadgill
- 1000 Johnson Ferry Rd Bldg H
- Marietta, GA
- Zip : 30068-5518
- Fax : (678) 483-8487
- Phone : (678) 819-6536
Second Address
- Jonathan Maxwell Chrisenberry Threadgill
- 1000 Johnson Ferry Rd Bldg H
- Marietta, GA
- Zip : 30068-5518
- Fax : (678) 483-8487
- Phone : (770) 977-0364
Reviews
FAQs
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Is Jonathan Maxwell Chrisenberry Threadgill a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | DN014348 | GA |
National Provider Identifier
| NPI | 1093881021 |
|---|---|
| Provider Name | Jonathan Maxwell Chrisenberry Threadgill |
| First Address | Marietta, GA 30068-5518 |
| Second Address | Marietta, GA 30068-5518 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/11/2006 |
| Last Update Date | 08/08/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 993983 | UNITED CONCORDIA (01) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.