Doctor Name: | DR. SHERRY LYNETTE JILINSKI |
NPI Number: | 1265590152 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 058354 |
Business Practice Address: | 2080 Child St Jacksonville, FL - 322145005 |
Business Phone Number: | 2296397222 |
Business Fax Number: | |
Mailing Address: | 130 Thimblemill Dr, LEESBURG |
State: | GA |
Postal Code: | 317634440 |
Phone Number: | 2299038970 |
Fax Number: | |
NPI Enumeration Date: | 12/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 058354 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |