| Jasper Neurological Associates, P.c. | |
|
3850 Camp Rd Jasper GA 30143-8667 | |
| (706) 253-1401 | |
| Not Available |
| Full Name | Jasper Neurological Associates, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3850 Camp Rd, Jasper, Georgia |
| Authorized Official Name and Position | Jonathan Pearlstein (PRESIDENT) |
| Authorized Official Contact | 7062531401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jasper Neurological Associates, P.c. 3850 Camp Rd Jasper GA 30143-8667 Ph: (706) 253-1401 | Jasper Neurological Associates, P.c. 3850 Camp Rd Jasper GA 30143-8667 Ph: (706) 253-1401 |
| NPI Number | 1013155795 |
|---|---|
| Provider Enumeration Date | 02/03/2009 |
| Last Update Date | 02/03/2009 |
| Medicare PECOS PAC ID | 0648329946 |
|---|---|
| Medicare Enrollment ID | O20090515000261 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013155795 | NPI | - | NPPES |
| 00804955C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 045910 (Georgia) | Primary |
| Provider Name | Jonathan Pearlstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871563403 PECOS PAC ID: 7810955325 Enrollment ID: I20050103000531 |
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