Individual
ALEX MCGOWIN JERNIGAN IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
78 SHERIDAN DR NE APT 3, ATLANTA, GA 30305-3186
(407) 810-6205
Mailing address
78 SHERIDAN DR NE APT 3, ATLANTA, GA 30305-3186
(407) 810-6205
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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