Healthcare Provider Details

I. General information

NPI: 1144239450
Provider Name (Legal Business Name): JEFFREY DEAN VOREIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 PATTERSON AVE
GEORGIANA AL
36033-6628
US

IV. Provider business mailing address

41 CAMBRIDGE CT
WETUMPKA AL
36093-1261
US

V. Phone/Fax

Practice location:
  • Phone: 334-376-2005
  • Fax: 334-362-4091
Mailing address:
  • Phone: 334-567-5626
  • Fax: 334-514-0324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number00011280
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: