Individual
NEERU JAYANTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6335 HOSPITAL PKWY STE 302, EMORY ORTHOPAEDICS, SPORTS, SPINE, JOHNS CREEK, GA 30097-5712
(404) 778-8423
Mailing address
2160 S FIRST AVE, (1211 ROOSEVELT RD., MAYWOOD, IL. 60153), MAYWOOD, IL 60153
(708) 531-5200
(708) 531-5201
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
073815
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073815
—
GA
Enumeration date
01/17/2006
Last updated
07/20/2015
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