Individual
JILL MCGEE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1115 LAKE DR, ROSWELL, GA 30075-3419
(404) 936-2215
Mailing address
1115 LAKE DR, ROSWELL, GA 30075-3419
(404) 936-2215
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006509
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000845292H
—
GA
Enumeration date
12/13/2006
Last updated
06/30/2025
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