Juncos, Jorge Luis
Juncos, Jorge Luis is an sole proprietor health care provider with primary practice located at 1100 Northside Forsyth Dr Ste 210 , Cumming GA 30041-6016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Juncos, Jorge Luis can be contacted via phone (404) 683-1017.Contact Information
Primary practice address
1100 Northside Forsyth Dr Ste 210
Cumming GA 30041-6016
Phone: (404) 683-1017
Fax: (404) 698-3463
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 30113 | Georgia |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 030113 | Georgia |
Profile Details
| NPI number | 1184801383 |
|---|---|
| LBN Legal business name | Juncos, Jorge Luis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2008 |
| Last updated | Nov 1st, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184801383 | NPPES |
| Georgia | MEDICAID | 000391069G | |
| Georgia | MEDICAID | 000391069B |
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