Healthcare Provider Details

I. General information

NPI: 1508856790
Provider Name (Legal Business Name): JEFFREY B. ENGLISH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2005
Last Update Date: 08/30/2022
Certification Date: 08/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 DOWNWOOD CIR NW STE 550
ATLANTA GA
30327-1624
US

IV. Provider business mailing address

3200 DOWNWOOD CIR NW STE 550
ATLANTA GA
30327-1624
US

V. Phone/Fax

Practice location:
  • Phone: 404-351-0205
  • Fax: 404-351-4187
Mailing address:
  • Phone: 404-351-0205
  • Fax: 404-351-4187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number048624
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberGA-048624
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: