Individual
JULIE GIESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS PA ASCP
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8211
(904) 202-2000
Mailing address
1 LOGGERHEAD LN, PONTE VEDRA BEACH, FL 32082-2523
(404) 275-1090
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
04132455
IL
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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