IndividualActive
Jane Iluba, MD
NPI 1447575931 · MOHS-Micrographic Surgery Physician · Athens, GA
Provider details
- NPI number
- 1447575931
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 33945 (SC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
658 N Chase St # 102
Athens, GA 30601-1960
Phone: (772) 313-3768
Fax: (850) 522-8354
Approximate (ZIP-level) locationGet directions
Mailing address
2505 Harrison Ave
Panama City, FL 32405-4464
Registry dates
- Enumerated
- 2010-03-29
- Last updated
- 2022-11-28
- Certified
- 2022-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.