Individual
JEFFERY LOVINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 COUNTRY CLUB DR, SUITE D, STOCKBRIDGE, GA 30281-9084
(770) 474-1919
(770) 474-7832
Mailing address
350 COUNTRY CLUB DR, SUITE D, STOCKBRIDGE, GA 30281-9084
(770) 474-1919
(770) 474-7832
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036810
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00539316A
—
GA
01
—
1077556
UNITED HEALTHCARE ID
GA
01
—
2651530
CIGNA PROVIDER ID
GA
01
—
482525
AETNA PROVIDER ID
GA
01
—
52477195
BLUE CROSS BLUE SHIELD
GA
Enumeration date
11/07/2005
Last updated
10/06/2011
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