Individual
DR. JACQUES R PYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 W HOSPITAL RD, EISENHOWER ARMY MEDICAL CENTER, ATTN CREDENTIALS, FORT GORDON, GA 30905-5650
(706) 787-2264
(706) 787-8176
Mailing address
2619 DOZIER RD, APPLING, GA 30802-1802
(706) 832-4344
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
026919
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000483029F
—
GA
05
—
000483029G
—
GA
Enumeration date
06/09/2006
Last updated
04/29/2016
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