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Individual

JOSHUA AIKE DEJONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(571) 801-6508
(571) 802-0544
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(571) 801-6508
(571) 802-0544

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
101014
GA
208000000X
Pediatrics Physician
33832
NE

Other

Enumeration date
02/07/2020
Last updated
11/19/2024
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