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Individual

DR. JAWAD ILYAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1498 JESSE JEWELL PKWY SE, SUITE A, GAINESVILLE, GA 30501-3874
(678) 987-1498
Mailing address
550 PEACHTREE ST NE, SUITE 1600, ATLANTA, GA 30308-2212
(404) 881-1094

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301085488
MI
207RG0100X
Gastroenterology Physician
Primary
073151
GA

Other

Enumeration date
07/05/2007
Last updated
12/30/2015
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