Individual
DR. JILL M BAKOTA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
MARTIN ARMY COMMUNITY HOSPITAL, 6600 VAN AALST BLVD, BLDG 9250, FORT MOORE, GA 31905
(762) 408-3498
Mailing address
MARTIN ARMY COMMUNITY HOSPITAL, 6600 VAN AALST BLVD, BLDG 9250, FT MOORE, GA 31905
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0002964
CO
152W00000X
Optometrist
046010341
IL
152W00000X
Optometrist
8634 TG
TX
152W00000X
Optometrist
Primary
OPT002625
GA
Other
Enumeration date
07/21/2010
Last updated
03/11/2024
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