Individual
DR. KRIS F GILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
771 OLD NORCROSS RD, SUITE 150, LAWRENCEVILLE, GA 30045-4386
(770) 995-5408
(770) 513-2042
Mailing address
771 OLD NORCROSS RD, SUITE 150, LAWRENCEVILLE, GA 30045-4386
(770) 995-5408
(770) 513-2042
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
050167
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000917122D
—
GA
01
—
P00256062
RAILROAD
—
Enumeration date
04/05/2006
Last updated
04/14/2009
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