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Individual

DR. MAURICE VERNON JETER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 WISTERIA DR, GAINESVILLE, GA 30501-3827
(770) 219-5407
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
60280
GA
2084P0800X
Psychiatry Physician
ME135331
FL

Other

Enumeration date
12/03/2007
Last updated
07/12/2023
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