Healthcare Provider Details

I. General information

NPI: 1427059377
Provider Name (Legal Business Name): JEFFREY BARON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 03/17/2023
Certification Date: 03/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 DOWNWOOD CIRCLE NE SUITE 410
ATLANTA GA
30327-1624
US

IV. Provider business mailing address

3200 DOWNWOOD CIR NW STE 410
ATLANTA GA
30327-1624
US

V. Phone/Fax

Practice location:
  • Phone: 404-352-4779
  • Fax:
Mailing address:
  • Phone: 404-352-4779
  • Fax: 404-334-0479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number91976
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: