Individual
ANAND P. JILLELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2505
(706) 721-1500
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2603
(706) 446-5941
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
033843
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G33843
—
SC
Enumeration date
08/30/2006
Last updated
07/05/2017
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