Provider Demographics
NPI:1891904017
Name:YE, JEFF HUAQING (MD)
Entity Type:Individual
Prefix:
First Name:JEFF
Middle Name:HUAQING
Last Name:YE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:HUAQING
Other - Middle Name:
Other - Last Name:YE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4020 OLD MILTON PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-3424
Mailing Address - Country:US
Mailing Address - Phone:770-346-0900
Mailing Address - Fax:770-346-0902
Practice Address - Street 1:4020 OLD MILTON PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-3424
Practice Address - Country:US
Practice Address - Phone:770-346-0900
Practice Address - Fax:770-346-0902
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA66110207R00000X
TN44409207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine