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Individual

ALFREDO J JAUME

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(770) 297-5650
(770) 535-7915
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 535-7445

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
038261
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000633773D
GA
05
000633773F
GA
01
01326301
AMERIGROUP
GA
01
1732360
CIGNA
GA
01
4599315
AETNA
GA
01
52485923
BCBS
GA
01
542093
WELLCARE
GA
01
P00903616
RAILROAD MEDICARE
GA
Enumeration date
08/23/2005
Last updated
07/19/2011
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