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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922088343 NPPES
Georgia MEDICAID 000955974A

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