Most Relevant Information
Provider Data
| NPI Number: | 1003022047 |
| Provider Name: | HAROLD LEON GILLIS PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | 1335 |
Most Important Dates
| Enumeration Date: | 05/15/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
146 ISLAND DR NE
MILLEDGEVILLE
GA
310619043
Practice Location Phone/Fax
| Phone: | 4784519081 |
| Fax: |
Provider Mailing Location
146 ISLAND DR NE
MILLEDGEVILLE
GA
310619043
Provider Mailing Phone/Fax
| Phone: | 4784519081 |
| Fax: |