IndividualActive
Jennifer Gilmore
NPI 1760121404 · Surgical Technologist · Covington, GA
Provider details
- NPI number
- 1760121404
- Entity type
- Individual
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 208984 (GA)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
4181 Hospital Dr Ne
Covington, GA 30014-2541
Phone: (167) 843-6968
Approximate (ZIP-level) locationGet directions
Mailing address
105 Cub Ln
Covington, GA 30016-5874
Registry dates
- Enumerated
- 2022-06-01
- Last updated
- 2022-06-01
- Certified
- 2022-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.