Gill, Jasbir S
Gill, Jasbir S is an individual health care provider with primary practice located at 105 W Cranford Ave , Valdosta GA 31602-2930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Gill, Jasbir S can be contacted via phone (229) 247-7350.Contact Information
Primary practice address
105 W Cranford Ave
Valdosta GA 31602-2930
Phone: (229) 247-7350
Fax: (229) 242-1730
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 031429 | Georgia |
Profile Details
| NPI number | 1982653556 |
|---|---|
| LBN Legal business name | Gill, Jasbir S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2006 |
| Last updated | Jan 4th, 2011 - about 14 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 | 1982653556 | NPPES |
| Georgia | MEDICAID | 00390332A |
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