Individual
DR. GEORGE JOSEPH MYERS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
505 AMELIA AVE, BAINBRIDGE, GA 39819-4355
(229) 243-6900
Mailing address
1500 E SHOTWELL ST, BAINBRIDGE, GA 39819-4256
(229) 246-3500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
077649
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003190187B
—
GA
01
—
077649
MEDICAL LICENSE
GA
Enumeration date
02/16/2012
Last updated
06/19/2019
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