NPI age
19 years
Enumerated 2006-06-08
● Active Type 2 · Organization
Medfast 2
Medfast 2 is 1 of 7 legal medicine organizations in Georgia.
Primary specialty
Legal Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Klug
President
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 7 active legal medicine providers in Georgia.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1405 Alice St
Waycross, GA 315014528
Mailing address
1405 Alice St
Waycross, GA 315014528
Authorized official
Gerardo A Klug, M.D.
President
📞 9122853157
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Cheryl Klug, F.N.P. C Legal Medicine NPI 1245276989
- Gerardo Klug, M.D. Legal Medicine NPI 1205878600
- Warren Theis, M.D. General Practice NPI 1588658702
Specialties
-
Legal Medicine PrimaryLegal Medicine is a special field of medicine that focuses on various aspects of medicine and law. Historically, the practice of legal medicine made contributions to medicine as a scientific instrument to solve criminal perplexities....
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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