Individual
MRS. JYOTI GHARGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2200 PATRICK HENRY PKWY, MCDONOUGH, GA 30253-4207
(817) 284-9850
(817) 284-9859
Mailing address
1909 ABERDEEN RD, SUITE 104, ALBANY, GA 31701
(229) 430-7256
(229) 430-7258
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
055750
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
430070034A
—
GA
01
—
52187050002
BCBS
GA
Enumeration date
06/26/2006
Last updated
11/15/2024
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