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Contact Information

JEFFREY A BLUMENTHAL, MD
993-D JOHNSON FERRY RD
SUITE 440
ATLANTA, GA30342
 Phone: 404-257-0799
 Fax: 404-503-2280
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JEFFREY A BLUMENTHAL · (Male)

NPI # 1417926544
Status Active
Credentials MD
Entity Individual
Enumeration date 03/14/2006
Last updated 02/28/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 041731
  • GA Medicaid 00715349G
  • Other 2134874 AETNA HMO
  • Other 5681456 AETNA PPO
  • Other 075345 BLUE CHOICE FAC
  • Other 52507534010 BLUE CHOICE PROVIDER ID
  • Other 2106202004 CIGNA
  • Other 1786 KAISER
  • Other 1433162 UNITED HEALTH CARE
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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