Individual
DR. GILLIAN ALTHEA JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
161 FORT EVANS RD NE, SUITE 320, LEESBURG, VA 20176-3369
(703) 777-5111
(703) 777-8465
Mailing address
8110 MAPLE LAWN BLVD STE 235, FULTON, MD 20759-2694
(301) 340-8339
(301) 340-9027
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101238135
VA
Other
Enumeration date
11/22/2005
Last updated
10/30/2023
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