Individual
DR. JAHMAL A HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6130 PRESTLEY MILL RD STE C, DOUGLASVILLE, GA 30134-2288
(678) 838-3903
(678) 838-7454
Mailing address
6130 PRESTLEY MILL RD STE C, DOUGLASVILLE, GA 30134-2288
(678) 838-3903
(678) 838-7454
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
056293
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P00310275
—
GA
Enumeration date
11/03/2006
Last updated
07/08/2007
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