Healthcare Provider Details

I. General information

NPI: 1912199761
Provider Name (Legal Business Name): JOY E. GILBERT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARY JOY EVANS GILBERT MD

II. Dates (important events)

Enumeration Date: 08/15/2007
Last Update Date: 10/28/2021
Certification Date: 10/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3950 AUSTELL RD
AUSTELL GA
30106-1121
US

IV. Provider business mailing address

3545 PACES FERRY CIR SE
SMYRNA GA
30080-3129
US

V. Phone/Fax

Practice location:
  • Phone: 770-732-4000
  • Fax:
Mailing address:
  • Phone: 478-731-5100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number063589
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: