Individual
DR. JEFFERY THOMAS WINGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 SHIRLEY AVE, DOUGLAS, GA 31533
(912) 383-6966
(912) 389-2108
Mailing address
1101 OCILLA RD, DOUGLAS, GA 31533-2262
(912) 384-1900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
026580
LA
207P00000X
Emergency Medicine Physician
Primary
059530
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1057789
—
LA
Enumeration date
07/08/2006
Last updated
05/09/2019
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