Individual
DR. MATTHEW B. JAFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2976 CHAPEL HILL RD STE 200, DOUGLASVILLE, GA 30135-1849
(770) 949-8558
(770) 949-6966
Mailing address
3100 INTERSTATE NORTH CIR SE STE 500, ATLANTA, GA 30339-2296
(770) 953-6929
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
049037
GA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
049037
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00886883D
—
GA
Enumeration date
05/23/2005
Last updated
04/30/2025
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