Provider Demographics
NPI:1740273093
Name:JAUME, ALFREDO J (MD)
Entity type:Individual
Prefix:
First Name:ALFREDO
Middle Name:J
Last Name:JAUME
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:PO BOX 658
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30503-0658
Mailing Address - Country:US
Mailing Address - Phone:770-718-1122
Mailing Address - Fax:770-535-7445
Practice Address - Street 1:725 JESSE JEWELL PKWY SE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3834
Practice Address - Country:US
Practice Address - Phone:770-297-5650
Practice Address - Fax:770-535-7915
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA038261207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000633773DMedicaid
GA52485923OtherBCBS
GA000633773FMedicaid
GA1732360OtherCIGNA
GAP00903616OtherRAILROAD MEDICARE
GA01326301OtherAMERIGROUP
GA4599315OtherAETNA
GA542093OtherWELLCARE
GA202I082833Medicare PIN
GA52485923OtherBCBS
GA4599315OtherAETNA
GA08CBCKCMedicare PIN