NPI 1982229399

Jesse K Laverdiere, DO

Practitioner Military Health Care Provider Fort Gordon, GA

Practice location

Address: 300 E Hospital Rd, Fort Gordon, GA 30905
Phone: (706) 787-5811
Mailing address: 1021 Alder Way APT 121, Evans, GA 30809-9152

Registered specialties

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X

Other Military Health Care Provider providers in Georgia →

Registry record

NPI: 1982229399
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jun 2020
Record last updated: 11 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.