Search › Georgia › 207R00000X
Justin Ertle, MD
NPI 1760801245 · on the registry since 2014 · sole proprietor
Practice
- Address
- 707 Pine St
Macon, GA 31201 - Phone
- (478) 301-5820
- Fax
- (478) 301-5825
- Clinicians at this address
- 13
Additional practice sites
- 2150 Pennsylvania Ave Nw, Washington, DC
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 390200000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
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