MEDICARE: JAY MORITZ DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	POD305042	GA
2	213ES0103X	Foot & Ankle Surgery Podiatrist	SC004679R	PA

General Provider Information

NPI Number	:	1891798435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAY MORITZ DPM

Provider Business Mailing Address
First Line	:	1505 PROFESSIONAL CT
Second Line	:
City	:	DALTON
State	:	GA
Zip	:	30720-2500
Country	:	US
Telephone Number	:	706-259-6882
Fax Number	:	706-259-3786

Provider Business Practice Location Address
First Line	:	1505 PROFESSIONAL CT
Second Line	:
City	:	DALTON
State	:	GA
Zip	:	30720-2500
Country	:	US
Telephone Number	:	706-259-6882
Fax Number	:	706-259-3786

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

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	08/13/2025

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Directions to “ JAY MORITZ DPM” Practice Location

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