DR. Jonathan Michael Gill, DPT, CSCS

NPI #1083142178 in Hiram, Georgia

Provider Information

NPI Number: 1083142178
Entity Type: Individual
Name: DR. Jonathan Michael Gill, DPT, CSCS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT, CSCS
Enumeration Date: Jun 1, 2017
Last Updated: Aug 7, 2017

Practice Location

Address: 3827 JIMMY LEE SMITH PKWY # 22
City: Hiram
State: Georgia
ZIP Code: 30141-2804
Phone: (770) 943-1142

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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