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General NPI Number Information
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NPI Number | 1366182883
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Entity Type | Individual
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Provider Name | JAYE MATTHEW GEORGE MD
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Gender | Male
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Dates
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Enumeration Date | 03/31/2022
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 572 HANK AARON DR SE STE 3200
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City | ATLANTA
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State | GA
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Zip | 30312-2896
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Country | US
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Telephone | 678-631-3722
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Fax |
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Provider Business Mailing Address
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Address Line | 1452 WESTBORO DR SW
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City | ATLANTA
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State | GA
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Zip | 30310-3224
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Country | US
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Telephone | 404-536-5365
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 105166
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License Number State | GA
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