Provider Demographics
NPI:1184143893
Name:HALPER, JAROSLAVA (MD, PHD)
Entity type:Individual
Prefix:
First Name:JAROSLAVA
Middle Name:
Last Name:HALPER
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 DW BROOKS DRIVE DEPARTMENT OF PATHOLOGY
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30602-7388
Mailing Address - Country:US
Mailing Address - Phone:706-542-5830
Mailing Address - Fax:706-542-5828
Practice Address - Street 1:501 DW BROOKS DRIVE DEPARTMENT OF PATHOLOGY
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30602-0001
Practice Address - Country:US
Practice Address - Phone:706-542-5830
Practice Address - Fax:706-542-5828
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA28563207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology