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Contact Information

JEFFREY SACKS, MD
1180 ERNEST W BARRETT PKWY NW STE 102A
KENNESAW, GA30144-4534
 Phone: 470-956-9171
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JEFFREY SACKS · (Male)

NPI # 1972892255
Status Active
Credentials MD
Entity Individual
Enumeration date 04/07/2011
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 069249
  • GA License # 69249
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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