Individual
JENNIFER GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4181 HOSPITAL DR NE, COVINGTON, GA 30014-2541
(167) 843-6968
Mailing address
105 CUB LN, COVINGTON, GA 30016-5874
(784) 369-6806
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
208984
GA
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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