MR. Myles Sidney Jerdan, MEDICAL DOCTOR

NPI #1770549701 in Lagrange, Georgia

Provider Information

NPI Number: 1770549701
Entity Type: Individual
Name: MR. Myles Sidney Jerdan, MEDICAL DOCTOR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: MEDICAL DOCTOR
Enumeration Date: Apr 26, 2006
Last Updated: Aug 28, 2020

Practice Location

Address: 1605 WHITESVILLE ST
City: Lagrange
State: Georgia
ZIP Code: 30240-5903
Phone: (877) 231-3376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary
Dermatology - Dermatopathology — Dermatopathology	207ND0900X

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