Provider Demographics
NPI:1730180936
Name:CHIULLI, JOHN FRANCIS (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:FRANCIS
Last Name:CHIULLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:675 WHITE SULPHUR RD
Mailing Address - Street 2:SUITE 175
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-8921
Mailing Address - Country:US
Mailing Address - Phone:770-287-0110
Mailing Address - Fax:770-287-0904
Practice Address - Street 1:675 WHITE SULPHUR RD
Practice Address - Street 2:SUITE 175
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-8921
Practice Address - Country:US
Practice Address - Phone:770-287-0110
Practice Address - Fax:770-287-0904
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA035587207RP1001X, 207RC0200X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA035587OtherSTATE LICENSE
GA0030127OtherBLUE CROSS BLUE SHIELD
GA00511761AMedicaid
GABC0883125OtherDEA
GA29BDBMLMedicare ID - Type Unspecified
GA00511761AMedicaid