Organization
HARIYEBBE C. JAYARAJ, MD, PC
Active
Other names
Adult Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
HARIYEBBE C JAYARAJ MD (OWNER)
(478) 929-4432
Entity
Organization
Contact information
Practice address
1205 RUSSELL PKWY, WARNER ROBINS, GA 31088-5538
(478) 929-4432
(478) 922-7109
Mailing address
1205 RUSSELL PKWY, WARNER ROBINS, GA 31088-5538
(478) 929-4432
(478) 922-7109
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
020746
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00188097A
—
GA
Enumeration date
08/11/2006
Last updated
04/08/2009
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