Gillenwater, David

Gillenwater, David is an individual health care provider with primary practice located at 191 Lamar Haley Pkwy , Canton GA 30114-8019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Gillenwater, David can be contacted via phone (770) 704-1600.

Contact Information

Primary practice address
191 Lamar Haley Pkwy Canton GA 30114-8019
Fax: (770) 704-1610
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 043052 Georgia

Profile Details

NPI number 1285797639
LBN Legal business name Gillenwater, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Jul 8th, 2007 - about 19 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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