Hairston, Jahmal A

Hairston, Jahmal A is an individual health care provider with primary practice located at 6130 Prestley Mill Rd Ste C , Douglasville GA 30134-2288. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Hairston, Jahmal A can be contacted via phone (678) 838-3903.

Contact Information

Primary practice address
6130 Prestley Mill Rd Ste C Douglasville GA 30134-2288
Phone: (678) 838-3903
Fax: (678) 838-7454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 056293 Georgia

Profile Details

NPI number 1922187871
LBN Legal business name Hairston, Jahmal A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922187871 NPPES
Georgia MEDICAID P00310275

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