NPI 1861504417
Jaimini a Dave, MD
Practice location
- Address
- 3870 Medical Park Drive Suite 200, Austell, GA 30106-1110
- Phone
- (770) 948-6824
- Fax
- (770) 948-6804
- Mailing address
- P.O. Box 629, Austell, GA 30168-1006
Registered specialties (2)
Pain Medicine Physician
Primary
Pain Medicine (Anesthesiology) Physician
Registry record
- NPI
- 1861504417
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 31 Aug 2006
- Record last updated
- 24 Jan 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.