Individual
DR. JODI LYNN KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2011 WINDSOR SPRING ROAD, AUGUSTA, GA 30906
(706) 798-1700
(706) 798-8626
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
Primary
056123
GA
207Q00000X
Family Medicine Physician
Primary
56123
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056123
LICENSE
GA
01
—
10057033
AMERIGROUP
GA
01
—
336988
WELLCARE
GA
01
—
56123
GA
GA
05
—
599460869A
—
GA
01
—
CH0654
RR MEDICARE GROUP PIN
GA
05
—
G56123
—
SC
Enumeration date
06/25/2006
Last updated
04/20/2026
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