Provider Demographics
NPI:1326213851
Name:GILL, JANET T
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:T
Last Name:GILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1535 CHESHIRE CT
Mailing Address - Street 2:PO BOX 491533
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-6514
Mailing Address - Country:US
Mailing Address - Phone:770-338-1287
Mailing Address - Fax:770-338-1289
Practice Address - Street 1:1535 CHESHIRE CT
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-6514
Practice Address - Country:US
Practice Address - Phone:770-338-1287
Practice Address - Fax:770-338-1289
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator