Huey, Jarrod Dwayne
Huey, Jarrod Dwayne is an individual health care provider with primary practice located at 8954 Hospital Dr , Douglasville GA 30134-2272. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Huey, Jarrod Dwayne can be contacted via phone (770) 920-6413.Contact Information
Primary practice address
8954 Hospital Dr
Douglasville GA 30134-2272
Phone: (770) 920-6413
Fax: (678) 838-2532
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 036158963 | Illinois |
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 048863 | Georgia |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 048863 | Georgia |
Profile Details
NPI number | 1689656514 |
---|---|
LBN Legal business name | Huey, Jarrod Dwayne |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 16th, 2005 |
Last updated | Jan 28th, 2022 - about 2 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 | 1689656514 | NPPES |
Georgia | MEDICAID | 756278717A | |
Georgia | MEDICAID | 491431789A |
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