Organization
JASPER NEUROLOGICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN PEARLSTEIN M.D. (PRESIDENT)
(706) 253-1401
Entity
Organization
Contact information
Practice address
3850 CAMP RD, JASPER, GA 30143-8667
(706) 253-1401
Mailing address
3850 CAMP RD, JASPER, GA 30143-8667
(706) 253-1401
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
045910
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00804955C
—
GA
Enumeration date
02/03/2009
Last updated
02/03/2009
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