Individual
HUGH MALCOLM DEJARNETTE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1550 JANMAR RD # B, SNELLVILLE, GA 30078-5600
(770) 979-9331
(770) 979-8827
Mailing address
1550 JANMAR RD # B, SNELLVILLE, GA 30078-5600
(770) 979-9331
(770) 979-8827
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
22908
KY
207Q00000X
Family Medicine Physician
Primary
27365
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004585815
AETNA
GA
01
—
005347
BCBS
GA
01
—
0100558
UNITED HEALTHCARE
GA
Enumeration date
08/24/2006
Last updated
07/08/2007
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