Jeanphis Laguerre MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

059815 Issued in GA

Legal business name

JEANPHIS LAGUERRE MD PC

Practice address

3007B 2ND St SE
Moultrie, GA 31768-6798

Phone

(229) 891-9009

Fax

(229) 891-9141

NPI assigned

Aug 29, 2008

Last updated

Aug 29, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Judy B Ricks

Title

Provider Enrollment Coordinator

Phone

(229) 891-9131

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1336397595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1838",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317761838",
            "telephone_number": "229-891-9009",
            "fax_number": "229-891-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007B 2ND ST SE",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686798",
            "telephone_number": "229-891-9009",
            "fax_number": "229-891-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANPHIS LAGUERRE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "RICKS",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT COORDINATOR",
        "authorized_official_telephone_number": "229-891-9131"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "059815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Moultrie, GA
• Providers in Moultrie, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.