Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MYLES SIDNEY JERDAN, MEDICAL DOCTOR
ActiveDermatology · LAGRANGE, GA
Registration Details
- NPI Number
- 1770549701
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 26, 2006 (19.988412974083 yrs)
- Last Updated
- Aug 28, 2020
- Licenses
-
60136 (TN)D30796 (GA)030796 (GA)30796 (GA)
Practice Information
- Address
-
1605 WHITESVILLE STLAGRANGE, GA, 302405903Browse GA providers · Browse ZIP 30240
- Phone
- 8772313376
- Fax
- 8505228354
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Dermatology
- Additional Specialty
- Dermatopathology
- Additional Specialty
- Dermatology
Other Dermatology Providers in LAGRANGE, GA
| Name | Credential | NPI |
|---|---|---|
| MR. GARIN DANIEL BARTH | MD | 1770518045 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.