MEDICARE: JEFFREY SCOTT WARD RRT, PSG.T

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2472E0500X	EEG Technician	2472E0500X
2	227900000X	Registered Respiratory Therapist	3886	GA

General Provider Information

NPI Number	:	1235269309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY SCOTT WARD RRT, PSG.T

Provider Business Mailing Address
First Line	:	15635 US HIGHWAY 27 N
Second Line	:
City	:	HAMILTON
State	:	GA
Zip	:	31811-5908
Country	:	US
Telephone Number	:	706-575-3312
Fax Number	:

Provider Business Practice Location Address
First Line	:	2013 DEVONSHIRE DR
Second Line	:	SUITE 106
City	:	COLUMBUS
State	:	GA
Zip	:	31904-6000
Country	:	US
Telephone Number	:	888-884-9493
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	10/07/2014

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