Organization
JAYVELIYATHMDINC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYASHREE C VELIYATH MD (CEO)
(770) 971-0633
Entity
Organization
Contact information
Practice address
2155 POST OAK TRITT RD, STE580, MARIETTA, GA 30062-8620
(770) 971-0633
(770) 971-3182
Mailing address
2155 POST OAK TRITT RD, STE580, MARIETTA, GA 30062-8620
(770) 971-0633
(770) 971-3182
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
38638
GA
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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