Gill, Mitchell Douglas

Gill, Mitchell Douglas is an individual health care provider with primary practice located at 123 Broad St , Dacula GA 30019-2139. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Gill, Mitchell Douglas can be contacted via phone (404) 625-0285.

Contact Information

Primary practice address
123 Broad St Dacula GA 30019-2139
Phone: (404) 625-0285
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT001510 Georgia

Profile Details

NPI number 1720546815
LBN Legal business name Gill, Mitchell Douglas
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2019
Last updated Mar 7th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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