MEDICARE: DR. JEAN JOSEPH PHILIPPE-DAMBREVILLE 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	207QA0505X	Adult Medicine Physician	44056	GA
2	207RA0201X	Allergy & Immunology (Internal Medicine) Physician	44056	GA
3	207R00000X	Internal Medicine Physician	44056	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639177066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEAN JOSEPH PHILIPPE-DAMBREVILLE MD

Provider Business Mailing Address
First Line	:	4955 FLYCATCHER DR
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30004-5877
Country	:	US
Telephone Number	:	770-826-7658
Fax Number	:

Provider Business Practice Location Address
First Line	:	2310 PARKLAKE DR NE STE 425
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30345-3066
Country	:	US
Telephone Number	:	770-696-5252
Fax Number	:	470-545-2909

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

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	03/24/2025

Similar Medicare Providers

1386781995 — PARADISE HEALTHCARE, INC
Practice Location Address:

2810 SPRING RD SE STE 112
ATLANTA, GA
30339-3066

Practice Phone: 770-434-1900
Practice Fax: 770-434-1992

1821112756 — DR. DONNA MARIE ARNETT D.C., B.S.
Practice Location Address:

2810 SPRING RD SE STE 116
ATLANTA, GA
30339-3066

Practice Phone: 678-217-7700
Practice Fax: 678-217-7701

1649455718 — MRS. JENNIFER WING KENNEDY CPNP
Practice Location Address:

1875 CENTURY BLVD NE STE 150
ATLANTA, GA
30345-3323

Practice Phone: 404-633-4595
Practice Fax: 404-633-6637

1417216128 — PROCARE PHARMACY, LLC
Practice Location Address:

2700 NORTHEAST EXPY NE , SUITE B-800
ATLANTA, GA
30345

Practice Phone: 404-367-9111
Practice Fax: 404-367-9199

1154054138 — DR. AYSHA SIDDIQUE OD
Practice Location Address:

4832 BRIARCLIFF RD NE STE 1
ATLANTA, GA
30345-2702

Practice Phone: 770-727-0772
Practice Fax: 770-766-1117

1902629611 — WESLEY RYAN ALLEN
Practice Location Address:

2600 CENTURY PKWY NE
ATLANTA, GA
30345-3125

Practice Phone: 404-282-3632
Practice Fax:

Directions to “ DR. JEAN JOSEPH PHILIPPE-DAMBREVILLE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.