Individual
MATTHEW CHARLES GILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2015 UPPERGATE DRIVE NE 5TH FLOOR, ATLANTA, GA 30322-3039
(404) 727-5765
(404) 727-3236
Mailing address
2015 UPPERGATE DRIVE NE 5TH FLOOR, ATLANTA, GA 30322-0001
(404) 727-5765
(404) 727-3236
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.139244
OH
208000000X
Pediatrics Physician
88862
GA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
88862
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2017
Last updated
07/12/2024
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