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Individual

DR. MARY LYNN EPSTEN CHILLEMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1504 SPRING HILL AVE, SUITE 1600, MOBILE, AL 36604-3207
(251) 434-3915
(251) 434-3802
Mailing address
1240 JESSE JEWELL PKWY SE STE 300, GAINESVILLE, GA 30501-3861
(770) 532-7202
(251) 434-3802

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
075040
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003213684A
GA
05
003213684B
GA
01
06538356
AMERIGROUP
GA
Enumeration date
07/23/2009
Last updated
09/28/2023
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