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Jana Dopson Illston, MD
Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician in Alpharetta, Georgia
NPI 1780904896

Jana Dopson Illston is a Female Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician based in Atlanta, GA and is specialized in Female Pelvic Medicine and Reconstructive Surgery. Jana Dopson Illston practices in Alpharetta, GA and has the professional credentials of MD. The NPI Number for Jana Dopson Illston is 1780904896 and holds a License No. 078039 (Georgia).

The current practice location address for Jana Dopson Illston is 11975 Morris Rd Ste 310, Alpharetta, GA and can be reached out via phone at 770-752-0824 and via fax at 770-752-0845. You can also correspond with Jana Dopson Illston through the mailing address at 5780 PEACHTREE DUNWOODY RD STE 300, ATLANTA, GA - 30342-1513 (mailing address contact number: 404-303-8035).

Location: 11975 Morris Rd Ste 310, Alpharetta, GA, 30342-1513
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780904896
Provider Name
Jana Dopson Illston
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
11975 Morris Rd Ste 310, Alpharetta, GA, 30342-1513
Phone Number
770-752-0824
Fax Number
770-752-0845
Provider Enumeration Date
06/11/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GRP3569 01 GA MEDICARE
300034164A 05 GA
institution
Provider Business Practice Location Address Details
Address
11975 Morris Rd Ste 310
City
Alpharetta
State
Georgia
Zip
30005-4444
Phone Number
770-752-0824
Fax Number
770-752-0845
person
Provider Business Mailing Address Details
Address
11975 Morris Rd Ste 310
City
Alpharetta
State
Georgia
Zip
30005-4444
Phone Number
770-752-0824
Fax Number
770-752-0845
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Female Pelvic Medicine and Reconstructive Surgery
Taxonomy
207VF0040X
License No.
78039 (Georgia)
Definition
A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
078039 (Georgia)
Definition
Definition to come...
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