Individual
JASBIR S GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
105 W CRANFORD AVE, VALDOSTA, GA 31602-2930
(229) 247-7350
(229) 242-1730
Mailing address
105 W CRANFORD AVE, VALDOSTA, GA 31602-2930
(229) 247-7350
(229) 242-1730
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
031429
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00390332A
—
GA
Enumeration date
05/09/2006
Last updated
01/04/2011
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