Individual
JAMIE GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
900 TOWE LAKE PARKWAY, SUITE 400, WOODSTOCK, GA 30189
(770) 924-5095
(770) 924-7429
Mailing address
900 TOWE LAKE PARKWAY, SUITE 400, WOODSTOCK, GA 30189
(770) 924-5095
(770) 924-7429
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001923
GA
Other
Enumeration date
11/03/2006
Last updated
10/27/2014
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