Individual
GEORGE ALTON JERNIGAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1216 REDCLIFFE LN, ST AUGUSTINE, FL 32095-8430
(910) 750-2969
Mailing address
1216 REDCLIFFE LN, ST AUGUSTINE, FL 32095-8430
(910) 750-2969
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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