Mitchell Douglas Gill, ATC

Athletic Trainer · Dacula, GA

Individual Active NPI

NPI number 1720546815

Practice location

123 Broad St
Dacula, GA 30019-2139
Phone
(404) 625-0285

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NPI record

NPI
1720546815
Entity type
Individual (Type 1)
Enumeration date
March 7, 2019
Last updated
March 7, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X AT001510 GA

Mailing address

1348 Rolling Stream Way
Lawrenceville, GA 30043-3862
Phone
(404) 625-0285

About Mitchell Gill

Mitchell Douglas Gill, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 123 Broad St, Dacula, GA 30019-2139. The NPI number 1720546815 was assigned on March 7, 2019 and the record was last updated on March 7, 2019.

Mitchell Gill lists a license in the registry: #AT001510 (GA) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mitchell Douglas Gill, ATC?

The NPI number is 1720546815.

What is the phone number of Mitchell Gill?

The phone number listed for the practice location is (404) 625-0285.

Where is Mitchell Gill located?

123 Broad St, Dacula, GA 30019-2139.

What is the taxonomy code for Mitchell Gill?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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