Individual
JILL MEGAN GRILLIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
109 PROFESSIONAL PL, CARROLLTON, GA 30117-3862
(770) 834-0170
(770) 214-1546
Mailing address
109 PROFESSIONAL PL, CARROLLTON, GA 30117-3862
(770) 834-0170
(770) 214-1546
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
28538
AL
207V00000X
Obstetrics & Gynecology Physician
Primary
64381
GA
Other
Enumeration date
05/18/2007
Last updated
10/25/2011
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