Organization
JERJIS T ALAJAJI
Active
Other names
Jerjis T. Alajaji, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
JERJIS T ALAJAJI MD (OWNER)
(734) 677-7400
Entity
Organization
Contact information
Practice address
1500 E SHOTWELL ST, BAINBRIDGE, GA 39819-4256
(229) 243-6180
(229) 243-3325
Mailing address
PO BOX 3430, ATTN: JACKIE GEE, ANN ARBOR, MI 48106-3430
(800) 764-7297
(734) 677-1603
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
058598
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063496628
BS INDVIDUAL ID NBR
GA
01
—
11503726
CAQH
GA
05
—
768852824A
—
GA
01
—
9177139
CIGNA
GA
01
—
P00414989
RR MEDICARE
GA
Enumeration date
02/18/2008
Last updated
05/30/2008
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