Individual
DR. JARED GREGORY BREYLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6001 PROFESSIONAL PKWY STE 2080, DOUGLASVILLE, GA 30134-5632
(678) 715-5080
Mailing address
6001 PROFESSIONAL PKWY STE 2080, DOUGLASVILLE, GA 30134-5632
(678) 715-5080
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
53161
TN
207RI0011X
Interventional Cardiology Physician
Primary
82281
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/17/2008
Last updated
10/22/2019
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