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Individual
DR. JUSTIN-BARRY J JEROME
Active
Individual
DR. JUSTIN-BARRY J JEROME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
056727
GA
208M00000X
Hospitalist Physician
Primary
056727
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56727
GEORGIA LICENCE NUMBER
GA
Enumeration date
10/27/2005
Last updated
12/20/2018
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