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Juanita Gillis
NPI 1417617762 · on the registry since 2021 · sole proprietor
Practice
- Address
- 4431 Tarragon Ln
Decatur, GA 30034 - Phone
- (404) 216-8104
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-12-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia