Individual
EILEEN JAVELLANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(678) 207-4373
(770) 533-4727
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 533-4786
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
045841
GA
207RB0002X
Obesity Medicine (Internal Medicine) Physician
045841
GA
208M00000X
Hospitalist Physician
045841
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000800555B
—
GA
05
—
000800555C
—
GA
05
—
000800555D
—
GA
05
—
000800555E
—
GA
05
—
000800555F
—
GA
05
—
000800555G
—
GA
05
—
000800555H
—
GA
05
—
000800555I
—
GA
05
—
000800555J
—
GA
05
—
000800555K
—
GA
05
—
000800555L
—
GA
05
—
000800555M
—
GA
05
—
000800555N
—
GA
01
—
0400503
UNITED HEALTHCARE
GA
01
—
10045921
AMERIGROUP
GA
01
—
110029C048846
TRAILBLAZER HEALTH ENTERPRISES
GA
01
—
110211686
RR MEDICARE-GRP # CC4177
GA
01
—
11BDRZS
MEDICARE CAHABA GBA
GA
01
—
2448449
CIGNA
GA
01
—
340854
WELLCARE
GA
01
—
52598478
BCBS
GA
01
—
582117020
TRICARE CERTIFIED
GA
01
—
582117020045
TRICARE CERTIFIED
GA
01
—
582117020055
TRICARE CERTIFIED
GA
01
—
582117020057
TRICARE CERTIFIED
GA
01
—
767999
COVENTRY HEALTHCARE
GA
01
—
783517
ATENA
GA
Enumeration date
01/18/2006
Last updated
05/07/2024
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