Individual
JUAN AYERDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1920 WARM SPRINGS RD, STE 1009, COLUMBUS, GA 31904-8031
(706) 596-8200
(706) 571-0207
Mailing address
1920 WARM SPRINGS RD, COLUMBUS, GA 31904-8031
(706) 596-8200
(706) 571-0207
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
057278
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160318
—
AL
01
—
202I770724
MEDICARE PTAN
GA
05
—
382093991I
—
GA
Enumeration date
12/13/2005
Last updated
11/30/2016
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