Individual
MATTHEW T GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4320 SUWANEE DAM RD, STE 200, SUWANEE, GA 30024-1918
(404) 297-4230
(678) 710-9430
Mailing address
4320 SUWANEE DAM RD, STE 200, SUWANEE, GA 30024-1918
(404) 297-4230
(678) 710-9430
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
067303
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003124177A
—
GA
05
—
003124177G
—
GA
Enumeration date
05/24/2007
Last updated
02/01/2017
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