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NPI Code Detail

MEDICARE: DR. MATTHEW B. JAFFE M.D

MEDICARE: DR. MATTHEW B. JAFFE 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
1207XX0005XSports Medicine (Orthopaedic Surgery) Physician049037GA
2207X00000XOrthopaedic Surgery Physician049037GA

Other Identifiers

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

General Provider Information

NPI Number : 1831192848
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW B. JAFFE M.D
Provider Business Mailing Address
First Line : 3100 INTERSTATE NORTH CIR SE STE 500
Second Line :
City : ATLANTA
State : GA
Zip : 30339-2296
Country : US
Telephone Number : 770-953-6929
Fax Number :
Provider Business Practice Location Address
First Line : 2976 CHAPEL HILL RD STE 200
Second Line :
City : DOUGLASVILLE
State : GA
Zip : 30135-1849
Country : US
Telephone Number : 770-949-8558
Fax Number : 770-949-6966
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 04/30/2025

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