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Individual

JOY E. GILBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3950 AUSTELL RD, AUSTELL, GA 30106-1121
(770) 732-4000
Mailing address
3545 PACES FERRY CIR SE, SMYRNA, GA 30080-3129
(478) 731-5100

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
063589
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01358332
AMERIGROUP
GA
01
582162071-059
TRICARE AFFILIATION ID
05
823617519A
GA
05
GA1077
SC
01
P00819755
RR MEDICARE
GA
Enumeration date
08/15/2007
Last updated
10/28/2021
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