Dr Jonathan Michael Gill, DPT, CSCS | |
3827 Jimmy Lee Smith Pkwy # 22, Hiram, GA 30141-2804 | |
(770) 943-1142 | |
Not Available |
Full Name | Dr Jonathan Michael Gill |
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Gender | Male |
Speciality | Physical Therapist |
Location | 3827 Jimmy Lee Smith Pkwy # 22, Hiram, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1083142178 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT012867 (Georgia) | Primary |
Provider Name | Jbjc Inc. |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1417037946 PECOS PAC ID: 9830164649 Enrollment ID: O20040826000460 |
Mailing Address | Practice Location Address |
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Dr Jonathan Michael Gill, DPT, CSCS 4501 Chelton Ct Se, Smyrna, GA 30080-6930 Ph: () - | Dr Jonathan Michael Gill, DPT, CSCS 3827 Jimmy Lee Smith Pkwy # 22, Hiram, GA 30141-2804 Ph: (770) 943-1142 |
Katherine Wilson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 76 Highland Pavilion Ct, Suite185, Hiram, GA 30141 Phone: 770-384-0844 | |
Ms. Judy Ozeryansky, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 148 Bill Carruth Pkwy, Suite 120, Hiram, GA 30141 Phone: 770-443-7136 Fax: 770-443-7153 | |
Chanda J Hadley, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3827 Jimmy Lee Smith Pkwy, Suite 122, Hiram, GA 30141 Phone: 770-943-1142 Fax: 770-943-6021 | |
Dr. Carlos E Morgan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 356 Hiram Way, Hiram, GA 30141 Phone: 678-823-5349 | |
Olivia Terrell, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 68 Breezy Valley Connector, Hiram, GA 30141 Phone: 828-393-5168 Fax: 865-951-7273 | |
Taryn Elaine Hand, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 148 Bill Carruth Parkway, Suite 160, Hiram, GA 30141 Phone: 470-956-8990 Fax: 770-443-7590 |