1982761920 NPI number — MS. JILL J PAGANO NP

Table of content: MS. JILL J PAGANO NP (NPI 1982761920)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982761920 NPI number — MS. JILL J PAGANO NP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PAGANO
Provider First Name:
JILL
Provider Middle Name:
J
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
NP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982761920
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
277 GLEN LAKE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOSCHTON
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30548-6129
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-582-3985
Provider Business Mailing Address Fax Number:
770-582-4192

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3720 DAVINCI CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORCROSS
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30092-7627
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-582-3985
Provider Business Practice Location Address Fax Number:
770-582-4192
Provider Enumeration Date:
01/02/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  RN067609 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)