Individual
DONALD E JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5671 PEACHTREE DUNWOODY RD NE, SUITE 300 B, ATLANTA, GA 30342-1786
(404) 778-6070
(678) 843-6350
Mailing address
5671 PEACHTREE DUNWOODY RD NE, SUITE 300 B, ATLANTA, GA 30342-1786
(404) 778-6070
(678) 843-6350
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
29478
GA
207RC0000X
Cardiovascular Disease Physician
029478
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00402982F
—
GA
Enumeration date
06/14/2006
Last updated
10/24/2017
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