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Search › Georgia › 207N00000X

Myles Jerdan, MEDICAL DOCTOR

NPI 1770549701 · on the registry since 2006

Practice

Address
1605 Whitesville St
Lagrange, GA 30240
Phone
(877) 231-3376
Fax
(850) 522-8354
Organisation at this address
West Georgia Dermatology Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
207N00000X
207N00000X
Also registered as
207N00000X
207N00000X
207ND0900X
Licence states on file
TN, GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-08-28

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