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Contact Information

GORDON G IFILL, MD
836 E 65TH STREET
42 MEDICAL ARTS
SAVANNAH, GA31405
 Phone: 912-354-5780
 Fax: 912-354-5782
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for GORDON G IFILL · (Male)

NPI Number 1124133178
Status Active
Credentials MD
Entity Individual
Enumeration date 08/20/2006
Last updated 09/11/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 034859
  • GA License # 34859
  • GA Medicaid 305328035A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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