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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEFFREY IRA ROTH, MD

Active

JEFFREY IRA ROTH, MD is a Otolaryngology healthcare provider located in SUWANEE, Georgia. NPI 1417945320 is currently active in the NPPES registry. Verify at CMS.

Otolaryngology · SUWANEE, GA

Registration Details

NPI Number
1417945320
Provider Type
Individual
Gender
Male
NPI Issued
Oct 13, 2005 (20.867028386882 yrs)
Last Updated
Dec 18, 2009
Licenses
041654 (GA)
041654 (GA)
041654 (GA)

Practice Information

Address
4385 JOHNS CREEK PKWY
STE 250
SUWANEE, GA, 300246048
Browse GA providers · Browse ZIP 30024
Phone
7706231608
Fax
6789922540
Primary Specialty
Otolaryngology
207Y00000X
Additional Specialty
Pediatric Otolaryngology
Additional Specialty
Otology & Neurotology

Other Otolaryngology Providers in SUWANEE, GA

Name Credential NPI
MATTHEW A OLEARCZYK MD 1851396832
SCOTT MARC KARLIN MD 1457349367
JOHNNY WON MD 1164492203
DR. DAVID THOMAS UPCHURCH MD 1427018746
JEFFREY E GOLDBERG MD 1336229178
MATTHEW T GILL M.D. 1376754200
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.