Healthcare Provider Details

I. General information

NPI: 1114970043
Provider Name (Legal Business Name): JULES TORAYA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 02/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5353 REYNOLDS ST SUITE 300
SAVANNAH GA
31405-6015
US

IV. Provider business mailing address

5353 REYNOLDS ST SUITE 300
SAVANNAH GA
31405-6015
US

V. Phone/Fax

Practice location:
  • Phone: 912-352-9733
  • Fax: 912-355-5643
Mailing address:
  • Phone: 912-352-9733
  • Fax: 912-355-5643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number022482
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: