Jas Medical & Wellness Center of Georgia LLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

JAS MEDICAL & WELLNESS CENTER OF GEORGIA LLC

Practice address

1075 Whitlock Ave SW
Suite I
Marietta, GA 30064-1941

Phone

(678) 797-1104

NPI assigned

Apr 29, 2013

Last updated

Apr 29, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Otis L Bonner III

Title

Attorney

Phone

(770) 940-4975

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1588008965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 WHITLOCK AVE SW",
            "address_2": "SUITE I",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641941",
            "telephone_number": "678-797-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 WHITLOCK AVE SW",
            "address_2": "SUITE I",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641941",
            "telephone_number": "678-797-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAS MEDICAL & WELLNESS CENTER OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "OTIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "770-940-4975",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Janousek, CCC-SLP
• Robert David Jansen, M.D.
• Sharon M January, MD
• Rubi Itzel Jaquez
• Yvonne G. Jarrett
• Jason Rhoads LLC
• Macey Jauregui, RBT
• Tariq Javed, M.D.
• Christine Javier
• Hamza Jawad, MD

• Hematology & Oncology Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Hematology & Oncology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.