Individual
JAYASHREE SUNIL JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2000 16TH AVENUE, COLUMBUS, GA 31901-1665
(706) 320-3770
(706) 320-3772
Mailing address
2300 MANCHESTER EXPY STE 2001A, COLUMBUS, GA 31904-6802
(706) 320-3126
(706) 320-3054
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
062125
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112812
—
AL
05
—
912624081A
—
GA
Enumeration date
06/26/2007
Last updated
08/05/2024
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