Provider Demographics
NPI:1154632685
Name:OLEK, JILL SUZANNE (MD)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:SUZANNE
Last Name:OLEK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:922 E JEFFERSON ST STE B
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31709-4781
Mailing Address - Country:US
Mailing Address - Phone:229-924-2383
Mailing Address - Fax:229-924-0684
Practice Address - Street 1:922 E JEFFERSON ST STE B
Practice Address - Street 2:
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31709-4781
Practice Address - Country:US
Practice Address - Phone:229-924-2383
Practice Address - Fax:229-924-0684
Is Sole Proprietor?:No
Enumeration Date:2010-06-30
Last Update Date:2023-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA64646207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine