Individual
DR. JEFFREY DOVER MIMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 331-1000
Mailing address
1430 TULANE AVE # 8050, NEW ORLEANS, LA 70112-2632
(504) 988-7809
(504) 988-3971
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
99555
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2020
Last updated
06/11/2024
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