Jaffer, Alysha S

Jaffer, Alysha S is an individual health care provider with primary practice located at 2536 Lawrenceville Hwy , Decatur GA 30033-3227. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Jaffer, Alysha S can be contacted via phone (770) 934-6832.

Contact Information

Primary practice address
2536 Lawrenceville Hwy Decatur GA 30033-3227
Phone: (770) 934-6832
Fax: (770) 934-6337
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 001615 Georgia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1615 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 005146 Georgia

Profile Details

NPI number 1760677322
LBN Legal business name Jaffer, Alysha S
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2007
Last updated Sep 30th, 2020 - about 5 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 1760677322 NPPES
Georgia MEDICAID 225403045 A & B

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