| Jasonmingjian, Md, Llc | |
|
100 Market Place Blvd Ste 309 Cartersville GA 30121-8717 | |
| (470) 363-3960 | |
| Not Available |
| Full Name | Jasonmingjian, Md, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 100 Market Place Blvd Ste 309, Cartersville, Georgia |
| Authorized Official Name and Position | Jason Ming Jian (CEO) |
| Authorized Official Contact | 2054828024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jasonmingjian, Md, Llc 780 Oak Trail Dr Marietta GA 30062-3836 Ph: (205) 482-8024 | Jasonmingjian, Md, Llc 100 Market Place Blvd Ste 309 Cartersville GA 30121-8717 Ph: (470) 363-3960 |
| NPI Number | 1972181535 |
|---|---|
| Provider Enumeration Date | 04/01/2021 |
| Last Update Date | 04/01/2021 |
| Certification Date | 04/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972181535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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