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Dr. Jacques Prejean, MD
Military Health Care Provider in Fort Moore, Georgia
NPI 1770264806

Jacques Prejean is a Military Health Care Provider based in Fort Moore, GA. Jacques Prejean practices in Fort Moore, GA and has the professional credentials of MD. The NPI Number for Jacques Prejean is 1770264806 and holds a License No. (Georgia).

The current practice location address for Jacques Prejean is 6600 Van Aalst Blvd, Fort Moore, GA and can be reached out via phone at 206-484-7480.

Location: 6600 Van Aalst Blvd, Fort Moore, GA, 31905-2102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770264806
Provider Name
Jacques Prejean
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6600 Van Aalst Blvd, Fort Moore, GA, 31905-2102
Phone Number
206-484-7480
Fax Number
Provider Enumeration Date
07/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6600 Van Aalst Blvd
City
Fort Moore
State
Georgia
Zip
31905-2102
Phone Number
206-484-7480
Fax Number
person
Provider Business Mailing Address Details
Address
6600 Van Aalst Blvd
City
Fort Moore
State
Georgia
Zip
31905-2102
Phone Number
206-484-7480
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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