Individual
JESSIE R GILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 VETERANS MEMORIAL BLVD STE 140, METAIRIE, LA 70002-6139
(225) 767-0847
(225) 215-1380
Mailing address
5215 ESSEN LN STE 200, BATON ROUGE, LA 70809-3543
(225) 215-1281
(225) 215-1380
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
205851
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2105094
—
LA
Enumeration date
03/19/2010
Last updated
10/18/2024
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