Healthcare Provider Details

I. General information

NPI: 1730180936
Provider Name (Legal Business Name): JOHN FRANCIS CHIULLI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 WHITE SULPHUR RD SUITE 175
GAINESVILLE GA
30501-8921
US

IV. Provider business mailing address

675 WHITE SULPHUR RD SUITE 175
GAINESVILLE GA
30501-8921
US

V. Phone/Fax

Practice location:
  • Phone: 770-287-0110
  • Fax: 770-287-0904
Mailing address:
  • Phone: 770-287-0110
  • Fax: 770-287-0904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number035587
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number035587
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number035587
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: