Provider Demographics
NPI:1841405875
Name:AXELROD, JED (MD)
Entity Type:Individual
Prefix:
First Name:JED
Middle Name:
Last Name:AXELROD
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5445 MERIDIAN MARK RD STE 250
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-4767
Mailing Address - Country:US
Mailing Address - Phone:404-255-1933
Mailing Address - Fax:404-256-7924
Practice Address - Street 1:5445 MERIDIAN MARK RD STE 250
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-4767
Practice Address - Country:US
Practice Address - Phone:404-255-1933
Practice Address - Fax:404-256-7924
Is Sole Proprietor?:No
Enumeration Date:2007-05-12
Last Update Date:2022-06-06
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Provider Licenses
StateLicense IDTaxonomies
GA59366207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery