Javellana, Eileen

Javellana, Eileen is an individual health care provider with primary practice located at 725 Jesse Jewell Pkwy Se , Gainesville GA 30501-3834. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obesity Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Javellana, Eileen can be contacted via phone (678) 207-4373.

Contact Information

Primary practice address
725 Jesse Jewell Pkwy Se Gainesville GA 30501-3834
Phone: (678) 207-4373
Fax: (770) 533-4727
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 045841 Georgia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 045841 Georgia
Allopathic & Osteopathic Physicians / Obesity Medicine 207RB0002X 045841 Georgia

Profile Details

NPI number 1003896952
LBN Legal business name Javellana, Eileen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated May 7th, 2024 - about 7 months 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 1003896952 NPPES
Georgia MEDICAID 000800555E
Georgia Other 582117020045
Georgia Other 582117020055
Georgia MEDICAID 000800555C
Georgia MEDICAID 000800555D
Georgia MEDICAID 000800555G
Georgia Other 110211686
Georgia Other 2448449
Georgia MEDICAID 000800555J
Georgia MEDICAID 000800555M
Georgia Other 10045921
Georgia Other 110029C048846
Georgia Other 11BDRZS
Georgia MEDICAID 000800555B
Georgia Other 582117020057
Georgia Other 0400503
Georgia MEDICAID 000800555F
Georgia MEDICAID 000800555K
Georgia MEDICAID 000800555N
Georgia Other 340854
Georgia Other 110211686
Georgia Other 52598478
Georgia Other 582117020
Georgia Other 783517
Georgia MEDICAID 000800555H
Georgia MEDICAID 000800555I
Georgia MEDICAID 000800555L
Georgia Other 767999

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