Jana Dopson Illston
Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
11975 Morris Rd Ste 310
Alpharetta
, Georgia 30005-4444
Jana Dopson Illston
Gynecologist Female Pelvic Medicine and Reconstructive Surgeon
11975 Morris Rd Ste 310
Alpharetta
, Georgia 30005-4444
(404) 303-1325
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About
Features
Specialties
- Female Pelvic Medicine and Reconstructive Surgeon
- Gynecologist
Languages spoken
- English
Location
First Address
- Jana Dopson Illston
- 5780 Peachtree Dunwoody Rd Ste 300
- Atlanta, GA
- Zip : 30342-1513
- Fax : (404) 303-1325
- Phone : (404) 303-8035
Second Address
- Jana Dopson Illston
- 11975 Morris Rd Ste 310
- Alpharetta, GA
- Zip : 30005-4444
- Fax : (770) 752-0845
- Phone : (770) 752-0824
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 78039 | GA |
| N | 207VG0400X | Gynecologist | 078039 | GA |
National Provider Identifier
| NPI | 1780904896 |
|---|---|
| Provider Name | Jana Dopson Illston |
| First Address | Atlanta, GA 30342-1513 |
| Second Address | Alpharetta, GA 30005-4444 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/06/2010 |
| Last Update Date | 09/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 300034164A | (05) | GA |
| GRP3569 | MEDICARE (01) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.