Individual
DR. JAYANTI JASTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
595 HURRICANE SHOALS RD NW, SUITE 100, LAWRENCEVILLE, GA 30046
(404) 645-7150
(770) 339-4797
Mailing address
595 HURRICANE SHOALS RD NW, SUITE 100, LAWRENCEVILLE, GA 30046-8762
(404) 645-7150
(770) 339-4797
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
056180
GA
207RN0300X
Nephrology Physician
Primary
056180
GA
Other
Enumeration date
04/18/2006
Last updated
05/31/2018
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