Provider Demographics
NPI:1821051970
Name:SCHECTER, HARVEY JAY (DO)
Entity Type:Individual
Prefix:DR
First Name:HARVEY
Middle Name:JAY
Last Name:SCHECTER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:976 KILLIAN HILL RD SW
Mailing Address - Street 2:SUITE A
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-3102
Mailing Address - Country:US
Mailing Address - Phone:770-923-7500
Mailing Address - Fax:770-923-7502
Practice Address - Street 1:976 KILLIAN HILL RD SW
Practice Address - Street 2:SUITE A
Practice Address - City:LILBURN
Practice Address - State:GA
Practice Address - Zip Code:30047-3102
Practice Address - Country:US
Practice Address - Phone:770-923-7500
Practice Address - Fax:770-923-7502
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA015982207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000055833BMedicaid
GAF02989Medicare UPIN
1821051970Medicare PIN