Reznik, Jeffrey M.
Reznik, Jeffrey M. is an individual health care provider with primary practice located at 4062 Peachtree Rd Ne Ste C , Brookhaven GA 30319-3021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Reznik, Jeffrey M. can be contacted via phone (404) 365-6500.Contact Information
Primary practice address
4062 Peachtree Rd Ne Ste C
Brookhaven GA 30319-3021
Phone: (404) 365-6500
Fax: (404) 365-6501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 053872 | Georgia |
Profile Details
| NPI number | 1538292040 |
|---|---|
| LBN Legal business name | Reznik, Jeffrey M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2007 |
| Last updated | Apr 26th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538292040 | NPPES |
| Georgia | MEDICAID | 701021381A |
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