MEDICARE: JESSIE LOUISE MUSE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	033395	GA

General Provider Information

NPI Number	:	1093998346
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSIE LOUISE MUSE MD

Provider Business Mailing Address
First Line	:	3300 MEMORIAL DR
Second Line	:	SUITE C1
City	:	DECATUR
State	:	GA
Zip	:	30032-2700
Country	:	US
Telephone Number	:	678-732-9087
Fax Number	:	678-732-9088

Provider Business Practice Location Address
First Line	:	3300 MEMORIAL DR
Second Line	:	SUITE C1
City	:	DECATUR
State	:	GA
Zip	:	30032-2700
Country	:	US
Telephone Number	:	678-732-9087
Fax Number	:	678-732-9088

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2007
Last Update Date	:	02/12/2026

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