Provider Demographics
NPI:1447213277
Name:JULES, YOLLA (MD)
Entity type:Individual
Prefix:
First Name:YOLLA
Middle Name:
Last Name:JULES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3120 N OAK STREET EXT
Mailing Address - Street 2:BEHAVIORAL HEALTH SERVICES OF SOUTH GA
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-5909
Mailing Address - Country:US
Mailing Address - Phone:229-671-6170
Mailing Address - Fax:229-671-6779
Practice Address - Street 1:3120 N OAK STREET EXT
Practice Address - Street 2:BEHAVIORAL HEALTH SERVICES OF SOUTH GA
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-5909
Practice Address - Country:US
Practice Address - Phone:229-671-6170
Practice Address - Fax:229-671-6779
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-11
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15738283Q00000X
GA661742084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No283Q00000XHospitalsPsychiatric Hospital
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA0033134918CMedicaid
GA0033134918CMedicaid