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Individual

DR. GEORGE JERYL EVERIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2300 MANCHESTER EXPY, STE A002, COLUMBUS, GA 31904-6805
(706) 324-0081
(706) 324-1965
Mailing address
PO BOX 8983, COLUMBUS, GA 31908-8983
(706) 324-0081
(706) 324-1965

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
14906
GA
207VG0400X
Gynecology Physician
Primary
014906
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00151841A
GA
01
11D0266507
CLIA ID #
GA
Enumeration date
03/25/2006
Last updated
05/07/2015
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