Individual
NEIL JAY NEGRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3875 AUSTELL RD., STE 201, AUSTELL, GA 30106-1153
(770) 819-1777
(770) 819-1730
Mailing address
3875 AUSTELL RD, STE 201, AUSTELL, GA 30106-1103
(770) 819-1777
(770) 819-1730
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
22610
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00222659B
—
GA
Enumeration date
05/24/2005
Last updated
04/25/2012
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