Provider Demographics
NPI:1043575814
Name:JILL SILBIGER, M.D. LLC
Entity type:Organization
Organization Name:JILL SILBIGER, M.D. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JILL
Authorized Official - Middle Name:S
Authorized Official - Last Name:SILBIGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-252-4525
Mailing Address - Street 1:5064 ROSWELL RD
Mailing Address - Street 2:SUITE D-201
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-2281
Mailing Address - Country:US
Mailing Address - Phone:404-252-4525
Mailing Address - Fax:404-252-6935
Practice Address - Street 1:5064 ROSWELL RD
Practice Address - Street 2:SUITE D-201
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-2281
Practice Address - Country:US
Practice Address - Phone:404-252-4525
Practice Address - Fax:404-252-6935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-09
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA29950261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health