Individual
DR. MATTHEW L. JERLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
540 HEMLCOK ST., MACON, GA 31201
(478) 743-8953
Mailing address
540 HEMLCOK ST., MACON, GA 31032
(478) 743-8953
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
38262
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00645411B
—
GA
01
—
481258
B/S B/S
GA
01
—
7444269-003
CIGNA
GA
Enumeration date
04/26/2006
Last updated
06/18/2008
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