Individual
DR. JUSTIN-BARRY J JEROME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1048 E FORSYTH ST, AMERICUS, GA 31709-3722
(229) 931-7138
Mailing address
1048 E FORSYTH ST, AMERICUS, GA 31709-3722
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
056727
GA
208M00000X
Hospitalist Physician
Primary
056727
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56727
GEORGIA LICENCE NUMBER
GA
Enumeration date
10/27/2005
Last updated
12/20/2018
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