MEDICARE: DR. THOMAS MERRYFIELD JARRETT M.D., PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	208D00000X	General Practice Physician	81985	GA

General Provider Information

NPI Number	:	1174917470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS MERRYFIELD JARRETT M.D., PHD

Provider Business Mailing Address
First Line	:	2870 PEACHTREE RD NW
Second Line	:	STE 915-3296
City	:	ATLANTA
State	:	GA
Zip	:	30305-2918
Country	:	US
Telephone Number	:	919-926-8331
Fax Number	:

Provider Business Practice Location Address
First Line	:	2870 PEACHTREE RD NW STE 915-3296
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30305-2918
Country	:	US
Telephone Number	:	919-926-8331
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2015
Last Update Date	:	01/28/2019

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