Jerome, Justin-Barry J

Jerome, Justin-Barry J is an individual health care provider with primary practice located at 1048 E Forsyth St , Americus GA 31709-3722. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Jerome, Justin-Barry J can be contacted via phone (229) 931-7138.

Contact Information

Primary practice address
1048 E Forsyth St Americus GA 31709-3722
Phone: (229) 931-7138
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 056727 Georgia
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 056727 Georgia

Profile Details

NPI number 1891785077
LBN Legal business name Jerome, Justin-Barry J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Dec 20th, 2018 - about 6 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 1891785077 NPPES
Georgia Other 56727 GEORGIA LICENCE NUMBER

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