| Doctor Name: | JEFFREY RYAN GILMORE |
| NPI Number: | 1457483646 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | DO2126 |
| Business Practice Address: | 31413 Winterplace Pkwy Suite 102 Salisbury, MD - 218041877 |
| Business Phone Number: | 4107423055 |
| Business Fax Number: | 4439440095 |
| Mailing Address: | 31413 Winterplace Pkwy, Suite 102 SALISBURY |
| State: | MD |
| Postal Code: | 218041877 |
| Phone Number: | 4107423055 |
| Fax Number: | 4439440095 |
| NPI Enumeration Date: | 03/12/2007 |
| NPI Last Update Date: | 04/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | DO2126 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |