Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 2019-01107 | NC |
NPI | 1154701530 |
---|---|
Provider Name | Dr. Jillian A O'donnell |
First Address | Chapel Hill, NC 27599 |
Second Address | Birmingham, AL 35233-1900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2015 |
Last Update Date | 05/05/2019 |