Individual
JAIRAJ VAILOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2487 CEDARCREST RD STE 714, ACWORTH, GA 30101-2730
(678) 224-5730
(678) 693-7186
Mailing address
6325 HOSPITAL PKWY, EMORY JOHNS CREEK HOSPITAL, JOHNS CREEK, GA 30097-5775
(676) 474-7038
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0116022713
VA
208D00000X
General Practice Physician
068820
GA
208M00000X
Hospitalist Physician
Primary
068820
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
03/29/2010
Last updated
11/19/2019
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