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Individual

DR. JAY ARTHUR CHERNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3330 PRESTON RIDGE RD, SUITE 220, ALPHARETTA, GA 30005-4508
(770) 410-1600
(770) 410-0006
Mailing address
3330 PRESTON RIDGE RD, SUITE 220, ALPHARETTA, GA 30005-4508
(770) 410-1600
(770) 410-0006

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
23144
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00463009B
GA
05
00463009E
GA
01
10BBBMT
MEDICARE PTAN (INDIVIDUAL)
01
GRP 3931
MEDICARE PTAN (GROUP)
GA
Enumeration date
08/10/2005
Last updated
02/28/2014
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