Individual
CASSANDRA MAE JILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
231 W HANCOCK ST, MILLEDGEVILLE, GA 31061-3375
(404) 824-6436
Mailing address
163 WABASH AVE, DALLAS, GA 30157-5509
(404) 824-6436
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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