Everidge, George Jeryl

Everidge, George Jeryl is an individual health care provider with primary practice located at 2300 Manchester Expy Ste A002, Columbus GA 31904-6805. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Everidge, George Jeryl can be contacted via phone (706) 324-0081.

Contact Information

Primary practice address
2300 Manchester Expy Ste A002 Columbus GA 31904-6805
Phone: (706) 324-0081
Fax: (706) 324-1965
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 14906 Georgia
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 014906 Georgia

Profile Details

NPI number 1154381861
LBN Legal business name Everidge, George Jeryl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated May 7th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154381861 NPPES
Georgia MEDICAID 00151841A
Georgia Other 11D0266507

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