Gillespie Webb, Dana E

Gillespie Webb, Dana E is an individual health care provider with primary practice located at 3650 Steve Reynolds Blvd Gwinnett Medical Office Department Of Pediatrics, Duluth GA 30096-4506. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gillespie Webb, Dana E can be contacted via phone (770) 931-6012.

Contact Information

Primary practice address
3650 Steve Reynolds Blvd Gwinnett Medical Office Department Of Pediatrics Duluth GA 30096-4506
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 060457 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36104939 Illinois

Profile Details

NPI number 1477527703
LBN Legal business name Gillespie Webb, Dana E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jan 13th, 2022 - about 2 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 1477527703 NPPES
Illinois MEDICAID 36104939

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