Provider Demographics
NPI:1851581557
Name:D'LUGIN, JAY JEFFREY (MD)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:JEFFREY
Last Name:D'LUGIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1421 PEACHTREE ST NE STE 503
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-3015
Mailing Address - Country:US
Mailing Address - Phone:404-567-6546
Mailing Address - Fax:
Practice Address - Street 1:1421 PEACHTREE ST NE STE 503
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-3015
Practice Address - Country:US
Practice Address - Phone:404-567-6546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-28
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC54482207P00000X
CAG84787207P00000X
GA47891207P00000X
GA047891207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine