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Individual

JEREL JAMES ERNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
BLDG 300 W HOSPITAL ROAD, OD EISENHOWER ARMY MEDICAL CENTER, FORT GORDON, GA 30905-5650
(706) 787-2860
Mailing address
650 FIELDSTONE WAY, EVANS, GA 30809-4412
(706) 855-2091

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
030600
GA

Other

Enumeration date
01/02/2007
Last updated
07/08/2007
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