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Individual

DR. JAY LEO CURTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
960 JOE FRANK HARRIS PKWY SE, CARTERSVILLE, GA 30120-2129
(770) 607-7339
(770) 607-0789
Mailing address
PO BOX 200096, CARTERSVILLE, GA 30120-9002
(770) 607-7339
(770) 607-0789

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
052264
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30BDMZC
MEDICARE ID
05
611855356
GA
Enumeration date
05/10/2006
Last updated
03/23/2010
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