NPI 1447575931

Jane Iluba, MD

Practitioner MOHS-Micrographic Surgery Physician Athens, GA

Practice location

Address: 658 N Chase St # 102, Athens, GA 30601-1960
Phone: (772) 313-3768
Fax: (850) 522-8354
Mailing address: 2505 Harrison Ave, Panama City, FL 32405-4464

Registered specialties (3)

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 93791 (GA)

Other Dermatology providers in Georgia →

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 33945 (SC)

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 01073699A (IN)

Registry record

NPI: 1447575931
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Mar 2010
Record last updated: 28 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.