Provider Demographics
NPI:1457398885
Name:JOYCE R. DRAYTON, MD, PC
Entity Type:Organization
Organization Name:JOYCE R. DRAYTON, MD, PC
Other - Org Name:ATLANTA INFECTIOUS DISEASE CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:R
Authorized Official - Last Name:DRAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-863-9781
Mailing Address - Street 1:PO BOX 49707
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30359-2707
Mailing Address - Country:US
Mailing Address - Phone:404-863-9781
Mailing Address - Fax:404-845-7890
Practice Address - Street 1:285 BOULEVARD NE STE 115
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-4207
Practice Address - Country:US
Practice Address - Phone:404-863-9781
Practice Address - Fax:404-845-7890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA038737174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000624676DMedicaid
GAF01774Medicare UPIN