Reilly, Jeffrey M.

Reilly, Jeffrey M. is an individual health care provider with primary practice located at 61 Whitcher Street Ne Suite 2100, Marietta GA 30060. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Reilly, Jeffrey M. can be contacted via phone (770) 423-0595.

Contact Information

Primary practice address
61 Whitcher Street Ne Suite 2100 Marietta GA 30060
Phone: (770) 423-0595
Fax: (770) 874-1614
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 047018 Georgia

Profile Details

NPI number 1760475586
LBN Legal business name Reilly, Jeffrey M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2005
Last updated Apr 22nd, 2020 - about 4 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 1760475586 NPPES
Georgia MEDICAID 000818925A

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