Fisher, Jayanthi Chawan
Fisher, Jayanthi Chawan is an individual health care provider with primary practice located at 1336 Columbia Dr Suite B, Decatur GA 30032-2851. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Fisher, Jayanthi Chawan can be contacted via phone (404) 288-2600.Contact Information
Primary practice address
1336 Columbia Dr Suite B
Decatur GA 30032-2851
Phone: (404) 288-2600
Fax: (404) 288-9016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN010766 | Georgia |
Profile Details
| NPI number | 1275585804 |
|---|---|
| LBN Legal business name | Fisher, Jayanthi Chawan |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Mar 31st, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275585804 | NPPES |
| Georgia | MEDICAID | 00401552A |
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