Laury, Jason Paul

Laury, Jason Paul is an individual health care provider with primary practice located at 743 Spring St Ne , Gainesville GA 30501-3715. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Laury, Jason Paul can be contacted via phone (770) 532-7179.

Contact Information

Primary practice address
743 Spring St Ne Gainesville GA 30501-3715
Phone: (770) 532-7179
Fax: (770) 534-1312
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 004191 Georgia

Profile Details

NPI number 1366495343
LBN Legal business name Laury, Jason Paul
Credentials AAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Apr 10th, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1366495343 NPPES
Georgia MEDICAID 360361027A
Georgia MEDICAID 360361027B

Popular Providers