Overcash, Jill J
Overcash, Jill J is an individual health care provider with primary practice located at 2000 Riverside Parkway Suite 207, Lawrenceville GA 30043. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Overcash, Jill J can be contacted via phone (678) 646-0404.Contact Information
Primary practice address
2000 Riverside Parkway Suite 207
Lawrenceville GA 30043
Phone: (678) 646-0404
Fax: (678) 646-0202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 051340 | Georgia |
Profile Details
| NPI number | 1922088343 |
|---|---|
| LBN Legal business name | Overcash, Jill J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Jul 31st, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922088343 | NPPES |
| Georgia | MEDICAID | 000955974A |
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