Organization
G. JERYL EVERIDGE, M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE JERYL EVERIDGE M.D. (PHYSICIAN)
(706) 324-0081
Entity
Organization
Contact information
Practice address
2022 10TH AVE, SUITE A, COLUMBUS, GA 31901-3724
(706) 324-0081
(706) 324-1965
Mailing address
2022 10TH AVE, SUITE A, COLUMBUS, GA 31901-3724
(706) 324-0081
(706) 324-1965
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14906
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00151841A
—
GA
Enumeration date
04/08/2008
Last updated
04/08/2008
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