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DR. JERRY DEWITT HARRELL MD DTMH

>> Ophthalmology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1780842708

Individual Registrant:
DR. JERRY DEWITT HARRELL MD DTMH
Gender: M
Sole Proprietor

Location and contact information for practice:
411 WHITEFIELD AVENUE  ST SIMONS ISLAND, GA 31522-2230 US
Tel: 912-638-8237  Fax: --

Contact information for business:
411 WHITEFIELD AVENUE  ST SIMONS ISLAND, GA 31522-2230 US
Tel: 912-638-8237  Fax: --

Registration Information:
NPI: 1780842708
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207W00000XAllopathic & Osteopathic Physicians
Ophthalmology
PAMD028926L

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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