Individual
CHRISTA LYNN JILLARD ILIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4548 EMPIRE CT, FREDERICKSBURG, VA 22408-1939
(540) 373-2244
Mailing address
PO BOX 15849, SAVANNAH, GA 31416-2549
(912) 354-6303
(912) 355-8655
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101276215
VA
208600000X
Surgery Physician
074475
GA
208600000X
Surgery Physician
2014-01282
NC
208600000X
Surgery Physician
LL31863
SC
Other
Enumeration date
06/28/2009
Last updated
10/11/2022
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