Individual
JARROD DWAYNE HUEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8954 HOSPITAL DR, DOUGLASVILLE, GA 30134-2272
(770) 920-6413
(678) 838-2532
Mailing address
PO BOX 1950, DOUGLASVILLE, GA 30133-1950
(706) 660-8505
(706) 660-9390
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036158963
IL
207L00000X
Anesthesiology Physician
Primary
048863
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
048863
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
491431789A
—
GA
05
—
756278717A
—
GA
Enumeration date
11/16/2005
Last updated
01/28/2022
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