Individual
DR. JESSICA MARIE GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1863 MEMORIAL DR SE, ATLANTA, GA 30317-2103
(404) 616-9304
(404) 616-9333
Mailing address
1863 MEMORIAL DR SE, ATLANTA, GA 30317-2103
(404) 616-9304
(404) 616-9333
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
70388
GA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
06/30/2010
Last updated
07/20/2016
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