Healthcare Provider Details

I. General information

NPI: 1295876076
Provider Name (Legal Business Name): AYMAN AL-JABI MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2920 PLAYER ST
BRUNSWICK GA
31520-4923
US

IV. Provider business mailing address

2920 PLAYER ST
BRUNSWICK GA
31520-4923
US

V. Phone/Fax

Practice location:
  • Phone: 912-261-2384
  • Fax:
Mailing address:
  • Phone: 912-261-2384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number36493
License Number StateGA

VIII. Authorized Official

Name: DR. AYMAN AL-JABI
Title or Position: MD
Credential: M.D.
Phone: 912-261-2384