Jesse K Laverdiere, DO Valid NPI
Individual provider · Military Health Care Provider · Fort Gordon, GA
- NPI
- 1982229399
- Type
- Individual (Type 1)
- Primary specialty
- Military Health Care Provider
- Specialty group
- Other Service Providers
- Taxonomy code
- 171000000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2020-06-11
- Last updated
- 2020-06-11
Practice location
300 E Hospital Rd
Fort Gordon, GA 30905
(706) 787-5811