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Individual

DR. WINSTON R. JESHURAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
310 HOSPITAL DR STE 210, MACON, GA 31217-8026
(478) 787-6255
(478) 812-8700
Mailing address
310 HOSPITAL DR STE 210, MACON, GA 31217-8026
(478) 787-6255
(478) 812-8700

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
D64605
MD
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
59432
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
560184785B
GA
01
P00763724
MEDICARE RAILROAD
GA
Enumeration date
07/26/2006
Last updated
03/17/2018
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