Harold Leon Gillis JR. PHD

NPI 1003022047 - Psychologist - 103T00000X

NPI Details
NPI 1003022047
Gender Male
Enumeration Date 05/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
146 ISLAND DR NE
MILLEDGEVILLE GA, 31061-9043, US
Phone (478) 451-9081
Fax
Business Location
146 ISLAND DR NE
MILLEDGEVILLE GA, 31061-9043, US
Phone (478) 451-9081
Fax
Toxanomy
Taxonomy Code 103T00000X
License State Georgia
License Number 1335
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According to our database, Dr. Harold Leon Gillis JR. PHD NPI is 1003022047, taxonomy code is 103T00000X and license number is 1335, license state is located at Georgia. Harold Leon Gillis JR. PHD physically located at 146 Island Dr Ne, Milledgeville GA, 31061-9043. NPI Number Harold Leon Gillis JR. PHD has the Individual type.

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1003022047 NPI number is provided on an as is basis without warranty of any kind. 1003022047 is maintained by the National Plan & Provider Enumeration System. The contents of Harold Leon Gillis JR. PHD are for informational purposes only.