Juncos Neuro Consulting, Llc | |
1100 Northside Forsyth Dr Ste 210 Cumming GA 30041-6016 | |
(470) 239-3602 | |
(404) 698-3463 |
Full Name | Juncos Neuro Consulting, Llc |
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Speciality | Psychiatry & Neurology |
Location | 1100 Northside Forsyth Dr Ste 210, Cumming, Georgia |
Authorized Official Name and Position | Jorge Luis Juncos (MANAGING MEMBER) |
Authorized Official Contact | 4702393602 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Juncos Neuro Consulting, Llc 1100 Northside Forsyth Dr Ste 210 Cumming GA 30041-6016 Ph: (470) 239-3602 | Juncos Neuro Consulting, Llc 1100 Northside Forsyth Dr Ste 210 Cumming GA 30041-6016 Ph: (470) 239-3602 |
NPI Number | 1902664576 |
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Provider Enumeration Date | 03/08/2024 |
Last Update Date | 03/08/2024 |
Medicare PECOS PAC ID | 7618419797 |
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Medicare Enrollment ID | O20240604002762 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902664576 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Jorge Juncos |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1184801383 PECOS PAC ID: 0547339160 Enrollment ID: I20080521000728 |
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