Individual
JASON GILLELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
258 TALLYHO DR, AUBURN, AL 36832
(404) 271-9143
Mailing address
258 TALLYHO DR, AUBURN, AL 36832-8624
(404) 271-9143
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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