Individual
HARIYEBBE C JAYARAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PC
Contact information
Practice address
1205 RUSSELL PKWY, WARNER ROBINS, GA 31088-5538
(478) 929-4432
(478) 922-7109
Mailing address
1205 RUSSELL PKWY, WARNER ROBINS, GA 31088-5538
(478) 929-4432
(478) 922-7109
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
020746
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00188097A
—
GA
01
—
1790720852
NPI
GA
Enumeration date
06/20/2006
Last updated
07/17/2008
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