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Contact Information

JOHN S GERGUIS, MD
1203 BRAMPTON AVE
STATESBORO, GA30458-0850
 Phone: 912-871-7890
 Fax: 912-871-7897
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JOHN S GERGUIS · (Male)

NPI # 1336197250
Status Active
Credentials MD
Entity Individual
Enumeration date 05/04/2006
Last updated 02/07/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 047085
  • GA License # 47085
  • GA Medicaid 00834919A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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