Individual
DR. JONATHAN J. PEARLSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3850 CAMP RD, SUITE C, JASPER, GA 30143-8667
(706) 253-1401
(706) 253-1405
Mailing address
3850 CAMP RD, JASPER, GA 30143-8667
(706) 253-1401
(706) 253-1405
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
045910
GA
2084N0600X
Clinical Neurophysiology Physician
045910
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00804955C
—
GA
Enumeration date
01/25/2006
Last updated
04/29/2009
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