Individual
JEFFRIE L KAMEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2675 NORTH DECATUR ROAD, SUITE 305, DECATUR, GA 30033-6125
(404) 299-8320
(404) 299-3478
Mailing address
PO BOX 88587, DUNWOODY, GA 30356-8587
(404) 299-8320
(404) 299-3478
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
40115
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00676035F
—
GA
01
—
160041XX
PREFERRED CARE PROVIDER N
GA
01
—
312895
BLUE CROSS BLUE SHEILD
GA
01
—
582662703
MAMSI LIFE AND HEALTH INS
GA
01
—
G15148
COVENTRY
GA
Enumeration date
07/05/2005
Last updated
03/04/2013
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