MEDICARE: DAVID L. JAYE 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
1	207ZH0000X	Hematology (Pathology) Physician	043660	GA
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	043660	GA

General Provider Information

NPI Number	:	1932167202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID L. JAYE M.D.

Provider Business Mailing Address
First Line	:	615 MICHAEL ST NE
Second Line	:	ROOM 105-B
City	:	ATLANTA
State	:	GA
Zip	:	30322-1047
Country	:	US
Telephone Number	:	404-712-2805
Fax Number	:	404-727-8538

Provider Business Practice Location Address
First Line	:	615 MICHAEL ST NE
Second Line	:	ROOM 105-B
City	:	ATLANTA
State	:	GA
Zip	:	30322-1047
Country	:	US
Telephone Number	:	404-712-2805
Fax Number	:	404-727-8538

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

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	04/11/2024

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