Individual
JEFFREY IVAN ENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6325 HOSPITAL PKWY, DULUTH, GA 30097-5775
(404) 778-8311
Mailing address
6335 HOSPITAL PKWY, DULUTH, GA 30097-1549
(404) 778-8311
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
84437
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100504134
—
NV
Enumeration date
01/25/2006
Last updated
10/26/2021
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