Dr. Jeffrey Broughton Ingalls
Oral and Maxillofacial Surgeon
2422 Double Churches Rd
Columbus
, Georgia 31909-2741
Dr. Jeffrey Broughton Ingalls
Oral and Maxillofacial Surgeon
2422 Double Churches Rd
Columbus
, Georgia 31909-2741
(706) 596-1767
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jeffrey Broughton Ingalls
- 2422 Double Churches Rd
- Columbus, GA
- Zip : 31909-2741
- Fax : (706) 596-1767
- Phone : (706) 596-1757
Second Address
- Dr. Jeffrey Broughton Ingalls
- 2422 Double Churches Rd
- Columbus, GA
- Zip : 31909-2741
- Fax : (706) 596-1767
- Phone : (706) 596-1757
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | DN014274 | GA |
National Provider Identifier
| NPI | 1053690453 |
|---|---|
| Provider Name | Dr. Jeffrey Broughton Ingalls |
| First Address | Columbus, GA 31909-2741 |
| Second Address | Columbus, GA 31909-2741 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/08/2011 |
| Last Update Date | 24/04/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.