Gillis, Jennifer

Gillis, Jennifer is an individual health care provider with primary practice located at 1365 Clifton Rd Ne Suite C1104, Atlanta GA 30322-1013. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Gillis, Jennifer can be contacted via phone (404) 778-4446.

Contact Information

Primary practice address
1365 Clifton Rd Ne Suite C1104 Atlanta GA 30322-1013
Phone: (404) 778-4446
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 0116019733 Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 67572 Georgia

Profile Details

NPI number 1629273719
LBN Legal business name Gillis, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2007
Last updated Jun 12th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629273719 NPPES
Georgia MEDICAID 003124674

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