Individual
DR. ANGELA SELLERS GERGUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1203 BRAMPTON AVE, SUITE A, STATESBORO, GA 30458-0850
(912) 871-7890
(912) 871-7898
Mailing address
1203 BRAMPTON AVE, STATESBORO, GA 30458-0850
(912) 871-7890
(912) 871-7898
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
047261
GA
207Q00000X
Family Medicine Physician
Primary
47261
GA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
47261
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00833951B
—
GA
05
—
08BBTHF
—
GA
Enumeration date
05/04/2006
Last updated
05/27/2025
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