Individual
GILBERT CHIRSTOPHER JARAMILLO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
300 EAST HOSPITAL ROAD, FORT EISENHOWER, GA 30905
(254) 630-4561
Mailing address
483 CAMBRIDGE WAY, MARTINEZ, GA 30907-8943
(254) 630-4561
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
78180
NM
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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