Individual
JYOTIRMAY SHARMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-3712
Mailing address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-3712
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
053950
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2558472
UNITED HEALTHCARE
GA
01
—
3992073
US HEALTHCARE
GA
01
—
931317
BCBS
GA
01
—
Y 20050901
PHCS
GA
Enumeration date
07/26/2006
Last updated
07/08/2007
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