Mauldin, Jill G

Mauldin, Jill G is an individual health care provider with primary practice located at 303 N Clyde Morris Blvd , Daytona Beach FL 32114-2709. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is her primary health care specialty. Mauldin, Jill G can be contacted via phone (386) 425-4830.

Contact Information

Primary practice address
303 N Clyde Morris Blvd Daytona Beach FL 32114-2709
Phone: (386) 425-4830
Fax: (904) 398-4998
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 18433 South Carolina
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 18433 South Carolina

Profile Details

NPI number 1871609206
LBN Legal business name Mauldin, Jill G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated May 10th, 2016 - about 10 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 1871609206 NPPES
South Carolina MEDICAID 184339
South Carolina MEDICAID USC001
South Carolina Other 3922

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