Individual
JAY R DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 OLD NORCROSS RD, SUITE A, LAWRENCEVILLE, GA 30045-4311
(770) 963-2474
(770) 963-2476
Mailing address
601 OLD NORCROSS RD, SUITE A, LAWRENCEVILLE, GA 30045-4311
(770) 963-2474
(770) 963-2476
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19511
GA
Other
Enumeration date
09/02/2006
Last updated
04/26/2021
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