MEDICARE: JYOTI GHARGE MD PC

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	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1932133709
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JYOTI GHARGE MD PC

Provider Business Mailing Address
First Line	:	1909 ABERDEEN RD
Second Line	:	SUITE 104
City	:	ALBANY
State	:	GA
Zip	:	31701
Country	:	US
Telephone Number	:	229-430-7256
Fax Number	:	229-430-7258

Provider Business Practice Location Address
First Line	:	1909 ABERDEEN RD
Second Line	:	SUITE 104
City	:	ALBANY
State	:	GA
Zip	:	31701
Country	:	US
Telephone Number	:	229-430-7256
Fax Number	:	229-430-7258

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. JYOTI GHARGE
Credential	:	MD
Telephone Number	:	229-430-7256

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	02/20/2008

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