Individual
KANESHA MONIQUE GILLYARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
106 E BROAD ST, SAVANNAH, GA 31401-2917
(912) 527-1100
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD001437
GA
Other
Enumeration date
07/07/2018
Last updated
06/03/2021
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