Individual
DR. BILKISU SULRETTE GAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
2518 JIMMY LEE SMITH PKWY, HIRAM, GA 30141-2068
(470) 644-8027
(470) 644-8064
Mailing address
2518 JIMMY LEE SMITH PKWY, HIRAM, GA 30141-2068
(470) 644-8027
(470) 644-8064
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2017008572
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780940809
GEORGIA
GA
Enumeration date
04/03/2012
Last updated
06/06/2019
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