Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | 063334 | GA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | ME102589 | FL |
NPI | 1144307224 |
---|---|
Provider Name | Dr. Georgia Lee Gill |
First Address | Jacksonville, FL 32223-1627 |
Second Address | Jacksonville, FL 32204-4517 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 22/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
149T5 | BLUE CROSS BLUE SHIELD (01) | FL |
5184367 | CIGNA (01) | FL |