Individual
DR. JERRY A LAMBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 EAST HUGH ST, NORTH AUGUSTA, SC 29841-2925
(803) 279-6800
(803) 279-2876
Mailing address
PO BOX 2510, EVANS, GA 30809-2510
(706) 922-8251
(706) 922-6695
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
046146
GA
207Q00000X
Family Medicine Physician
Primary
28569
SC
207Q00000X
Family Medicine Physician
46146
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000829419C
—
GA
01
—
046146
LICENSE
SC
01
—
10056188
AMERIGROUP
GA
01
—
28569
SC MEDICAL LICENSE
SC
05
—
G46146
—
SC
Enumeration date
06/08/2006
Last updated
04/20/2026
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