Provider Demographics
NPI:1902664576
Name:JUNCOS NEURO CONSULTING, LLC
Entity Type:Organization
Organization Name:JUNCOS NEURO CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:JUNCOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-239-3602
Mailing Address - Street 1:1100 NORTHSIDE FORSYTH DR STE 210
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-6016
Mailing Address - Country:US
Mailing Address - Phone:470-239-3602
Mailing Address - Fax:404-698-3463
Practice Address - Street 1:1100 NORTHSIDE FORSYTH DR STE 210
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-6016
Practice Address - Country:US
Practice Address - Phone:470-239-3602
Practice Address - Fax:404-698-3463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty