Individual
JONATHAN DAVID GILLIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
758 OLD NORCROSS RD STE 100, LAWRENCEVILLE, GA 30046-3386
(770) 962-4300
(770) 339-7544
Mailing address
758 OLD NORCROSS RD STE 100, LAWRENCEVILLE, GA 30046-3386
(770) 962-4300
(770) 339-7544
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
87577
GA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
53718
KY
Other
Enumeration date
03/26/2015
Last updated
06/04/2021
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