Provider Demographics
NPI:1831189950
Name:GARTEN, JAY H (MD)
Entity type:Individual
Prefix:DR
First Name:JAY
Middle Name:H
Last Name:GARTEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:550 PEACHTREE ST NE
Mailing Address - Street 2:SUITE 1620
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2209
Mailing Address - Country:US
Mailing Address - Phone:404-885-7701
Mailing Address - Fax:404-885-7777
Practice Address - Street 1:8855 HOSPITAL DR
Practice Address - Street 2:SUITE 101
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30134-2267
Practice Address - Country:US
Practice Address - Phone:678-784-5020
Practice Address - Fax:678-784-5024
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2015-03-10
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Provider Licenses
StateLicense IDTaxonomies
GA24239207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000328655DMedicaid
GA10BDHJMMedicare ID - Type Unspecified
GAD39931Medicare UPIN