Individual
DR. JOHN C ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1429 OGLETHORPE ST, MACON, GA 31201-1512
(478) 743-7061
(478) 743-6296
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-8575
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
055003
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
511907393A
—
GA
01
—
P00145840
RAILROAD MEDICARE
GA
Enumeration date
02/14/2006
Last updated
07/22/2025
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