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Individual

JAMES JAY GERACCI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 W HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 787-9355
Mailing address
595 LINKS LN, MARTINEZ, GA 30907-8959
(706) 210-7457

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
023661
LA

Other

Enumeration date
12/15/2006
Last updated
07/08/2007
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