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JEFFREY ALAN BLUMENTHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
993-D JOHNSON FERRY RD, SUITE 440, ATLANTA, GA 30342
(404) 257-0799
(404) 503-2280
Mailing address
993-D JOHNSON FERRY RD NE, SUITE 440, ATLANTA, GA 30342
(404) 257-0799
(404) 503-2280

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
041731
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00715349G
GA
01
075345
BLUE CHOICE FAC
01
1433162
UNITED HEALTH CARE
01
1786
KAISER
01
2106202004
CIGNA
01
2134874
AETNA HMO
01
52507534010
BLUE CHOICE PROVIDER ID
01
5681456
AETNA PPO
Enumeration date
03/14/2006
Last updated
02/28/2012
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