Jacques Prejean, MD Valid NPI
Individual provider · Military Health Care Provider · Fort Moore, GA
- NPI
- 1770264806
- Type
- Individual (Type 1)
- Primary specialty
- Military Health Care Provider
- Specialty group
- Other Service Providers
- Taxonomy code
- 171000000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2023-07-31
- Last updated
- 2023-08-03
Practice location
6600 Van Aalst Blvd
Fort Moore, GA 31905-2102
(206) 484-7480