JILL NORTHOVER

PRIVIA MEDICAL GROUP OF GEORGIA LLC

Dr JILL NORTHOVER is a female medical professional, specializing in Nurse Practitioner. She graduated in 2009.

Contact

PRIVIA MEDICAL GROUP OF GEORGIA LLC

88 CLINIC RD
TATE
GA
301772588

Tel: 6784543331

JILL NORTHOVER Information

Npi 1326338609
Pac Id 1355513292
Professional Enrollment Id I20111018000790
Last Name NORTHOVER
First Name JILL
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2009
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PRIVIA MEDICAL GROUP OF GEORGIA LLC
Group Practice Pac Id 4284951542
Number Of Group Practice Members 204
Line 1 Street Address 88 CLINIC RD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City TATE
State GA
Zip Code 301772588
Phone Number 6784543331
Hospital Affiliation Ccn 1 110225
Hospital Affiliation Lbn 1 PIEDMONT MOUNTAINSIDE HOSPITAL INC
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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