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DR. JERRY BABB GULLEDGE MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1699818948

Individual Registrant:
DR. JERRY BABB GULLEDGE MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
408 EAST RAILROAD AVENUE NORTH  CRYSTAL SPRINGS, MS 39059 US
Tel: 601-892-4336  Fax: --

Contact information for business:
408 EAST RAILROAD AVENUE NORTH  CRYSTAL SPRINGS, MS 39059 US
Tel: 601-892-4336  Fax: --

Registration Information:
NPI: 1699818948
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
MS3895

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
10535MS05




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