Individual
JEAN-PAUL LANDRY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
459 HIGHWAY 119 S, SPRINGFIELD, GA 31329-3021
(800) 893-9698
Mailing address
238 SURREY LN, STATESBORO, GA 30458-8799
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
BL2782159
GA
Other
Enumeration date
04/07/2006
Last updated
07/08/2007
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