Jerry Babb Gulledge MD

NPI 1699818948 - Family Medicine - 207Q00000X

NPI Details
NPI 1699818948
Gender Male
Enumeration Date 02/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
408 EAST RAILROAD AVENUE NORTH
CRYSTAL SPRINGS MS, 39059, US
Phone (601) 892-4336
Fax
Business Location
408 EAST RAILROAD AVENUE NORTH
CRYSTAL SPRINGS MS, 39059, US
Phone (601) 892-4336
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Mississippi
License Number 3895
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According to our database, Dr. Jerry Babb Gulledge MD NPI is 1699818948, taxonomy code is 207Q00000X and license number is 3895, license state is located at Mississippi. Jerry Babb Gulledge MD physically located at 408 East Railroad Avenue North, Crystal Springs MS, 39059. NPI Number Jerry Babb Gulledge MD has the Individual type.

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1699818948 NPI number is provided on an as is basis without warranty of any kind. 1699818948 is maintained by the National Plan & Provider Enumeration System. The contents of Jerry Babb Gulledge MD are for informational purposes only.