Individual
JILL TANENBAUM CIERNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 JOHNSON FY RD NE, ATLANTA, GA 30342-1709
(404) 252-1137
(404) 252-6794
Mailing address
5780 PEACHTREE DUNWOODY RD STE 300, ATLANTA, GA 30342-1513
(404) 303-8035
(404) 303-1325
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
071671
GA
207V00000X
Obstetrics & Gynecology Physician
49907
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300034164A
—
GA
01
—
GRP3569
MEDICARE
GA
Enumeration date
04/29/2009
Last updated
06/08/2021
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