MEDICARE: DR. JEROME IRVING TOKARS JR. 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	207R00000X	Internal Medicine Physician	28909	GA

General Provider Information

NPI Number	:	1780530170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEROME IRVING TOKARS JR. MD

Provider Business Mailing Address
First Line	:	2919 GALAHAD DR NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30345-3632
Country	:	US
Telephone Number	:	404-788-0592
Fax Number	:	404-329-8914

Provider Business Practice Location Address
First Line	:	2919 GALAHAD DR NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30345-3632
Country	:	US
Telephone Number	:	404-788-0592
Fax Number	:

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

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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