Doctor Name: | MR. RAVINDER JERATH |
NPI Number: | 1013026830 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 19957 |
Business Practice Address: | 2100 Central Ave Suite 7 Augusta, GA - 309046717 |
Business Phone Number: | 7067365378 |
Business Fax Number: | 7067389922 |
Mailing Address: | 2100 Central Ave, Suite 7 AUGUSTA |
State: | GA |
Postal Code: | 309046717 |
Phone Number: | 7067365378 |
Fax Number: | 7067389922 |
NPI Enumeration Date: | 08/29/2006 |
NPI Last Update Date: | 02/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 19957 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |