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Individual
JEROME D. HOMISH
Active
Individual
JEROME D. HOMISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
34-005148
OH
207Q00000X
Family Medicine Physician
Primary
89940
GA
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
89940
GA
Other
Enumeration date
05/20/2006
Last updated
05/10/2022
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