Individual
DR. JABULANI SIDILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2635 S COBB DR SE, SMYRNA, GA 30080-1845
(470) 462-4111
(470) 462-4408
Mailing address
2635 S COBB DR SE, SMYRNA, GA 30080-1845
(470) 462-4111
(470) 462-4408
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01083421A
IN
207R00000X
Internal Medicine Physician
Primary
282688
MA
207R00000X
Internal Medicine Physician
88675
GA
207RN0300X
Nephrology Physician
01083421A
IN
207RN0300X
Nephrology Physician
35.123324
OH
207RN0300X
Nephrology Physician
351223324
OH
208M00000X
Hospitalist Physician
01083421A
IN
208M00000X
Hospitalist Physician
35123324
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2009
Last updated
05/07/2026
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