MEDICARE: ALAN L JOFFE M.D.

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	174400000X	Specialist	021164	GA
2	207VG0400X	Gynecology Physician	021164	GA
3	207V00000X	Obstetrics & Gynecology Physician	021164	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	582348494	OTHER	GA	TAX ID OTHER PROVIDERS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538165352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALAN L JOFFE M.D.

Provider Business Mailing Address
First Line	:	993 JOHNSON FERRY RD NE
Second Line	:	BLD C STE 120
City	:	ATLANTA
State	:	GA
Zip	:	30342-1620
Country	:	US
Telephone Number	:	404-256-2811
Fax Number	:	404-257-9855

Provider Business Practice Location Address
First Line	:	993 JOHNSON FERRY RD NE
Second Line	:	BLD C STE 120
City	:	ATLANTA
State	:	GA
Zip	:	30342-1620
Country	:	US
Telephone Number	:	404-256-2811
Fax Number	:	404-257-9855

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

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	12/10/2010

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Directions to “ ALAN L JOFFE M.D.” Practice Location

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