Individual
MR. JASON FLEURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
15 REINHARDT COLLEGE PKWY STE 110, CANTON, GA 30114-5259
(770) 720-2383
Mailing address
95 COLLIER ROAD NW, SUITE 2035, ATLANTA, GA 30309
(404) 605-2800
(404) 351-5983
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
5556
GA
207UN0901X
Nuclear Cardiology Physician
5556
GA
363A00000X
Physician Assistant
Primary
5556
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003100393C
—
GA
Enumeration date
03/10/2009
Last updated
07/17/2023
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