Doctor Name: | JASON ROSS TOUCHTON |
NPI Number: | 1043575178 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 70785 |
Business Practice Address: | 124 3rd St Macon, GA - 312013404 |
Business Phone Number: | 4787512900 |
Business Fax Number: | |
Mailing Address: | 5017 Tucker Rdg, MACON |
State: | GA |
Postal Code: | 312102960 |
Phone Number: | 7062554335 |
Fax Number: | |
NPI Enumeration Date: | 07/04/2012 |
NPI Last Update Date: | 05/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 70785 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |