Individual
JILL A BIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5745 CAMERON HALL PL NW, ATLANTA, GA 30328-6213
(404) 843-1951
Mailing address
5745 CAMERON HALL PL NW, ATLANTA, GA 30328-6213
(404) 843-1951
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
034299
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000458004D
—
GA
Enumeration date
02/01/2007
Last updated
11/15/2010
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