Individual
LADOLGY S GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1418 10TH AVE, COLUMBUS, GA 31901-2244
(706) 593-0051
Mailing address
5123 KINGSBERRY LN, COLUMBUS, GA 31907-4381
(706) 593-0051
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/09/2008
Last updated
06/25/2010
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