Provider Demographics
NPI:1891787628
Name:DRAYTON, JOYCE R (MD)
Entity type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:R
Last Name:DRAYTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JOYCE
Other - Middle Name:R
Other - Last Name:DRAYTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 49707
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30359-2707
Mailing Address - Country:US
Mailing Address - Phone:404-863-9781
Mailing Address - Fax:404-393-3444
Practice Address - Street 1:285 BOULEVARD NE STE 115
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-4207
Practice Address - Country:US
Practice Address - Phone:404-863-9781
Practice Address - Fax:404-845-7890
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA038737207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000624676DMedicaid
GAF01774Medicare UPIN
GA000624676DMedicaid