Doctor Name: | ANNE E GILLIS |
NPI Number: | 1225006869 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 35087586 |
Business Practice Address: | 927 Kenton Station Dr Maysville, KY - 410569609 |
Business Phone Number: | 6067590433 |
Business Fax Number: | 6067590058 |
Mailing Address: | Po Box 550, VANCEBURG |
State: | KY |
Postal Code: | 411790550 |
Phone Number: | 6067963029 |
Fax Number: | 6067966221 |
NPI Enumeration Date: | 03/09/2006 |
NPI Last Update Date: | 10/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 35087586 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |