Individual
DR. JONATHAN MICHAEL GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, CSCS
Contact information
Practice address
3827 JIMMY LEE SMITH PKWY # 22, HIRAM, GA 30141-2804
(770) 943-1142
Mailing address
4501 CHELTON CT SE, SMYRNA, GA 30080-6930
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012867
GA
Other
Enumeration date
06/01/2017
Last updated
08/07/2017
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