Mr. Myles Sidney Jerdan, MEDICALDOCTOR
Mr. Myles Sidney Jerdan, MEDICALDOCTOR is a Dermatology in Lagrange, Georgia. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1979, 47 years ago. Practices with Dermatology Specialists of Georgia LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Georgia and Tennessee.
- Years since qualifying
- 47
- Trained at
- University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
- Licensed in
- GA, TN
- In the registry since
- 2006
- Specialties on file
- 4
Practice location Address checks out
1605 Whitesville StLagrange, GA 30240-5903
Phone: (877) 231-3376
Fax: (850) 522-8354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 30796 (GA) |
|---|---|
| Dermatology Physician | Taxonomy 207N00000X · Licence 60136 (TN) |
| Dermatology Physician | Taxonomy 207N00000X · Licence D30796 (GA) |
| Dermatopathology Physician | Taxonomy 207ND0900X · Licence 030796 (GA) |
Record details
| NPI number | 1770549701 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MEDICALDOCTOR |
| Sole proprietor | No |
| NPI enumerated | April 26, 2006 |
| Last updated in NPPES | August 28, 2020 |
| Certification date | August 28, 2020 |
Medicare enrollment
| Medicare specialty | DERMATOLOGY |
|---|---|
| Medical school | UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB) |
| Graduated | 1979 (47 years in practice) |
| Group practice | Dermatology Specialists Of Georgia Llc — 16 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Lagrange
-
Mr. Garin Daniel Barth, MD
1605 Whitesville St, Lagrange, GA 30240-5903 · (706) 882-5119