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Search › Georgia › 363A00000X

Jerry Mercedat, PA-C

NPI 1750320685 · on the registry since 2006

Practice

Address
631 Professional Dr Ste 170
Lawrenceville, GA 30046
Phone
(678) 312-2663
Fax
(770) 962-8587
Organisation at this address
Walgreen Co
Cavells Inc
Georgia Urology, Pa
Charles B Moomey Jr Md
Wallace F. Martin, M.D.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
102

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia