Individual
MR. KEVIN ANTHONY GILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
1984 PEACHTREE RD NW STE 515, ATLANTA, GA 30309
(404) 351-1745
Mailing address
709 MALL BLVD, SAVANNAH, GA 31406-4805
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
008997
GA
367H00000X
Anesthesiologist Assistant
—
GA
367H00000X
Anesthesiologist Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2018
Last updated
12/15/2018
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