Provider Demographics
NPI:1942439716
Name:GILL, SIMPAL KAUR (MBBS)
Entity Type:Individual
Prefix:DR
First Name:SIMPAL
Middle Name:KAUR
Last Name:GILL
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Gender:F
Credentials:MBBS
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Mailing Address - Street 1:203 INDIGO DR
Mailing Address - Street 2:SEPA LABS
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31525-6865
Mailing Address - Country:US
Mailing Address - Phone:912-261-2669
Mailing Address - Fax:912-261-0753
Practice Address - Street 1:1601 WATSON BLVD.
Practice Address - Street 2:SEPA LABS @ HOUSTON MEDICAL CENTER
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31093
Practice Address - Country:US
Practice Address - Phone:912-261-2669
Practice Address - Fax:912-261-0753
Is Sole Proprietor?:No
Enumeration Date:2009-07-14
Last Update Date:2015-08-24
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Provider Licenses
StateLicense IDTaxonomies
GA074289207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology