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NPI Code Detail

MEDICARE: DR. JOEL L AXLER MD

MEDICARE: DR. JOEL L AXLER MD
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
12084P0800XPsychiatry Physician035369GA
22084P0804XChild & Adolescent Psychiatry Physician035369GA

General Provider Information

NPI Number : 1598960197
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOEL L AXLER MD
Provider Business Mailing Address
First Line : 2151 PEACHFORD RD
Second Line :
City : ATLANTA
State : GA
Zip : 30338-6534
Country : US
Telephone Number : 770-455-3200
Fax Number :
Provider Business Practice Location Address
First Line : 2151 PEACHFORD RD
Second Line :
City : ATLANTA
State : GA
Zip : 30338-6534
Country : US
Telephone Number : 770-455-3200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2007
Last Update Date : 10/15/2008

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