Organization Name: | ARUN K JAIN MD PC |
NPI Number: | 1407928484 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ARUN K JAIN (PRESIDENT) |
Mailing Address: | 2481 Hwy 88 Hephzibah |
State: | GA US |
Postal Code: | 30815 |
Phone Number: | 7065924077 |
Fax Number: | 7065922598 |
NPI Enumeration Date: | 11/14/2006 |
NPI Last Update Date: | 02/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 027073 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |