Provider Demographics
NPI:1710407234
Name:ANDREWS, JAIYE A (DO)
Entity type:Individual
Prefix:
First Name:JAIYE
Middle Name:A
Last Name:ANDREWS
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:JAIYE
Other - Middle Name:
Other - Last Name:CONNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:3902 NORTHSIDE DR STE B5
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210-2459
Mailing Address - Country:US
Mailing Address - Phone:404-772-4739
Mailing Address - Fax:833-669-1623
Practice Address - Street 1:3902 NORTHSIDE DR STE B5
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31210-2459
Practice Address - Country:US
Practice Address - Phone:404-772-4739
Practice Address - Fax:833-669-1623
Is Sole Proprietor?:No
Enumeration Date:2017-06-26
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA80975208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice