Individual
JERRY MCCOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
106 SHOPPERS WAY, BRUNSWICK, GA 31525-0530
(912) 275-8028
Mailing address
517 RIDGEWOOD RD, HUNTINGTON, WV 25701-4853
(681) 888-3117
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN289175
GA
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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