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NPI Code Detail

MEDICARE: JEFFREY WAINSTEIN M.D.

MEDICARE: JEFFREY WAINSTEIN M.D.
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
12083P0500XPreventive Medicine/Occupational Environmental Medicine Physician040582GA

General Provider Information

NPI Number : 1578688941
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY WAINSTEIN M.D.
Provider Business Mailing Address
First Line : 5080 SPECTRUM DRIVE
Second Line : SUITE 1200 WEST TOWER
City : ADDISON
State : TX
Zip : 75001
Country : US
Telephone Number : 800-232-3550
Fax Number :
Provider Business Practice Location Address
First Line : 3580 ATLANTA AVE
Second Line :
City : HAPEVILLE
State : GA
Zip : 30354-1706
Country : US
Telephone Number : 404-768-3351
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 01/08/2010

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