Basic Information
| Provider Information | |||||||||
| NPI: | 1538320320 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JANE T. ST CLAIR, MD, PC | ||||||||
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| OtherOrganizationName: | WELLBEINGS OCCUPATIONAL HEALTHCARE | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 851 SPRINGDALE RD NE | ||||||||
| Address2: | |||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303064617 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4043735223 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3300 HOLCOMB BRIDGE RD | ||||||||
| Address2: | SUITE 110 | ||||||||
| City: | NORCROSS | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300925404 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7704495161 | ||||||||
| FaxNumber: | 7704493272 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/24/2008 | ||||||||
| LastUpdateDate: | 06/24/2008 | ||||||||
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| AuthorizedOfficialLastName: | ST CLAIR | ||||||||
| AuthorizedOfficialFirstName: | JANE | ||||||||
| AuthorizedOfficialMiddleName: | TURLEY | ||||||||
| AuthorizedOfficialTitleorPosition: | MEDICAL DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 4046079737 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | MEDICAL DOCTOR | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QX0100X | 24485 | GA | Y | Ambulatory Health Care Facilities | Clinic/Center | Occupational Medicine |
No ID Information.