| Patrick Edward Gilliland, Llc | |
|
9635 Ventana Way Suite 101 Johns Creek GA 30022-8620 | |
| (678) 366-8862 | |
| (678) 739-0119 |
| Full Name | Patrick Edward Gilliland, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 9635 Ventana Way, Johns Creek, Georgia |
| Authorized Official Name and Position | Patrick Edward Gilliland (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 6024635673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Edward Gilliland, Llc 9635 Ventana Way Suite 101 Johns Creek GA 30022-8620 Ph: (678) 366-8862 | Patrick Edward Gilliland, Llc 9635 Ventana Way Suite 101 Johns Creek GA 30022-8620 Ph: (678) 366-8862 |
| NPI Number | 1942624580 |
|---|---|
| Provider Enumeration Date | 02/18/2014 |
| Last Update Date | 02/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942624580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFT001143 (Georgia) | Primary |
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