Individual
DR. JOHN S GERGUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1203 BRAMPTON AVE, STATESBORO, GA 30458-0850
(912) 871-7890
(912) 871-7897
Mailing address
1203 BRAMPTON AVE STE 102, STATESBORO, GA 30458-0850
(912) 871-7890
(912) 871-7897
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
047085
GA
207Q00000X
Family Medicine Physician
Primary
47085
GA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
47085
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00834919A
—
GA
Enumeration date
05/04/2006
Last updated
02/07/2020
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