Individual
JEDIDIAH GARTH ALMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
745 POPLAR ROAD, NEWNAN, GA 32605-1618
(770) 400-1000
Mailing address
745 POPLAR ROAD, NEWNAN, GA 30265-1618
(770) 400-1000
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
P7239
TX
2085R0202X
Diagnostic Radiology Physician
Primary
072212
GA
2085R0202X
Diagnostic Radiology Physician
P7239
TX
2085U0001X
Diagnostic Ultrasound Physician
P7239
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003147384A
—
GA
01
—
P01360792
RAILROAD MEDICARE
GA
Enumeration date
05/02/2008
Last updated
03/03/2016
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