Jeffrey Ira Roth in Suwanee - Otolaryngology
Jeffrey Ira Roth - NPI 1417945320
Jeffrey Ira Roth is a Otolaryngology in Suwanee, Georgia. Jeffrey Ira Roth practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Jeffrey Ira Roth is 1417945320. The last update date is 2009-12-18.
Jeffrey Ira Roth's current location address is 4385 Johns Creek Pkwy, Suwanee, Georgia. You can contact this provider via phone number 7706231608 and fax number 6789922540. The mailing address for Jeffrey Ira Roth is 4385 Johns Creek Pkwy, Suwanee, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Ira Roth |
|---|---|
| Address | 4385 Johns Creek Pkwy, Suwanee, Georgia |
| Phone Number | 7706231608 |
| Fax Number | 6789922540 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1417945320 |
|---|---|
| Provider Enumeration Date | 2005-10-13 |
| Last Updated Date | 2009-12-18 |
Provider Mailing Address Detail
| Address | 4385 Johns Creek Pkwy |
|---|---|
| City | Suwanee |
| State | Georgia (GA) |
| Post Code | 300246048 |
| Phone Number | 7706231608 |
| Fax Number | 6789922540 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 41654 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000714381M | GA | -- | |
| 000714381J | GA | -- |
Post Comment/ Review Below
What is the Jeffrey Ira Roth's 1417945320?
The Jeffrey Ira Roth's NPI (National Provider Identifier) Number is 1417945320. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jeffrey Ira Roth?
The Jeffrey Ira Roth is physically situated at 4385 Johns Creek Pkwy, in the city of Suwanee, state of GA, with the postal code 300246048.
What is Jeffrey Ira Roth's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jeffrey Ira Roth is Otolaryngology, and the taxonomy code that categorizes this field of expertise is 207Y00000X.
When did Jeffrey Ira Roth receive its 1417945320 assignment?
The Jeffrey Ira Roth was assigned its 1417945320 on 2005-10-13, which is the date when this unique identifier was issued to the organization.
When was the information related to Jeffrey Ira Roth most recently updated or refreshed?
The details pertaining to the Jeffrey Ira Roth, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-12-18.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY