Ferdinand, Jean Robert

Ferdinand, Jean Robert is an individual health care provider with primary practice located at 3334 Highway 155 , Locust Grove GA 30248-3513. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ferdinand, Jean Robert can be contacted via phone (770) 305-7929.

Contact Information

Primary practice address
3334 Highway 155 Locust Grove GA 30248-3513
Phone: (770) 305-7929
Fax: (770) 305-7969
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 7553 Kansas
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 31037 Alabama
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 64216 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 64216 Georgia

Profile Details

NPI number 1265744759
LBN Legal business name Ferdinand, Jean Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2010
Last updated May 16th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265744759 NPPES
Georgia MEDICAID 003111758C
Georgia Other 12263436

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