Individual
DR. JASON A. SORIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1956 REGENTS WAY, MARIETTA, GA 30062-4672
(615) 345-5400
Mailing address
3 MARYLAND FARMS STE 200, BRENTWOOD, TN 37027-5780
(615) 345-5400
(615) 345-5405
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
0101251118
VA
2084N0400X
Neurology Physician
Primary
043489
GA
2084N0400X
Neurology Physician
22636
SC
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
35.139166
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I138999
MEDICARE PTAN
GA
05
—
G43489
—
SC
01
—
ME112191
STATE LICENSE
FL
01
—
P01290090
RAILROAD MEDICARE
GA
Enumeration date
07/07/2006
Last updated
11/20/2025
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