Basic Information
| Provider Information | |||||||||
| NPI: | 1801806765 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GILBERT | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | LEO | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4080 COOPER LAKE CT SE | ||||||||
| Address2: | |||||||||
| City: | SMYRNA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300824801 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6785564010 | ||||||||
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| Practice Location | |||||||||
| Address1: | 677 CHURCH ST NE | ||||||||
| Address2: | BOX 111-HOSPITALISTS OFFICE | ||||||||
| City: | MARIETTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300601101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7707935178 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/09/2006 | ||||||||
| LastUpdateDate: | 10/17/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD26676 | OR | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 058473 | GA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 058473 | GA | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.