Individual
DR. GORDON G IFILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
836 E 65TH STREET, 42 MEDICAL ARTS, SAVANNAH, GA 31405
(912) 354-5780
(912) 354-5782
Mailing address
836 E 65TH STREET, 42 MEDICAL ARTS, SAVANNAH, GA 31405
(912) 966-3779
(912) 963-2540
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
034859
GA
2084P0800X
Psychiatry Physician
Primary
34859
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305328035A
—
GA
Enumeration date
08/20/2006
Last updated
09/11/2009
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