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NPI Code Detail

MEDICARE: JERON TROTMAN

MEDICARE: JERON TROTMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-16-23062GA

General Provider Information

NPI Number : 1891316444
Entity Type Code : Individual
Provider Name (Legal Business Name) : JERON TROTMAN
Provider Business Mailing Address
First Line : 3348 PEACHTREE RD NE STE 700
Second Line :
City : ATLANTA
State : GA
Zip : 30326-1682
Country : US
Telephone Number : 615-570-9959
Fax Number : 646-859-4440
Provider Business Practice Location Address
First Line : 3348 PEACHTREE RD NE STE 700
Second Line :
City : ATLANTA
State : GA
Zip : 30326-1682
Country : US
Telephone Number : 615-570-9959
Fax Number : 646-859-4440
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2020
Last Update Date : 05/05/2020

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Directions to “ JERON TROTMAN ” Practice Location

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