IndividualActive
Jesse Laverdiere, DO
NPI 1982229399 · Military Health Care Provider · Fort Gordon, GA
Provider details
- NPI number
- 1982229399
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
300 E Hospital Rd
Fort Gordon, GA 30905
Phone: (706) 787-5811
Approximate (ZIP-level) locationGet directions
Mailing address
1021 Alder Way Apt 121
Evans, GA 30809-9152
Registry dates
- Enumerated
- 2020-06-11
- Last updated
- 2020-06-11
- Certified
- 2020-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.