DR. Joseph Jellicorse, M.D.

NPI #1932190535 in Carrollton, Georgia

Provider Information

NPI Number: 1932190535
Entity Type: Individual
Name: DR. Joseph Jellicorse, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Nov 2, 2005
Last Updated: Sep 19, 2012

Practice Location

Address: 100 PROFESSIONAL PARK
Address 2: SUITE 204
City: Carrollton
State: Georgia
ZIP Code: 30117-3874
Phone: (770) 834-3351

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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