Individual
DR. GEORGIA LEE GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2549 PARK ST, JACKSONVILLE, FL 32204-4517
(904) 388-6003
(904) 384-2741
Mailing address
11945 SAN JOSE BLVD, BLDG 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 399-1717
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
063334
GA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
ME102589
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149T5
BLUE CROSS BLUE SHIELD
FL
01
—
5184367
CIGNA
FL
Enumeration date
11/01/2006
Last updated
11/22/2010
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