Provider Demographics
NPI:1932167202
Name:JAYE, DAVID L (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:L
Last Name:JAYE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:615 MICHAEL ST NE
Mailing Address - Street 2:ROOM 105-B
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-1047
Mailing Address - Country:US
Mailing Address - Phone:404-712-2805
Mailing Address - Fax:404-727-8538
Practice Address - Street 1:615 MICHAEL ST NE
Practice Address - Street 2:ROOM 105-B
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1047
Practice Address - Country:US
Practice Address - Phone:404-712-2805
Practice Address - Fax:404-727-8538
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2024-04-11
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Provider Licenses
StateLicense IDTaxonomies
GA043660207ZH0000X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAH57377Medicare UPIN