Individual
DR. JORGE LUIS JUNCOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 NORTHSIDE FORSYTH DR STE 210, CUMMING, GA 30041-6016
(404) 683-1017
(404) 698-3463
Mailing address
1100 NORTHSIDE FORSYTH DR STE 210, CUMMING, GA 30041-6016
(404) 683-1017
(404) 698-3463
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
030113
GA
2084N0400X
Neurology Physician
30113
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000391069B
—
GA
05
—
000391069G
—
GA
Enumeration date
01/30/2008
Last updated
11/01/2023
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