Gill Memorial Ent Clinic, Pc in Roanoke - Specialist
Gill Memorial Ent Clinic, Pc - NPI 1497957419
Gill Memorial Ent Clinic, Pc is a Specialist in Roanoke, Virginia. Gill Memorial Ent Clinic, Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Gill Memorial Ent Clinic, Pc is 1497957419. The last update date is 2007-07-30.
Gill Memorial Ent Clinic, Pc's current location address is 707 S Jefferson St Fl 5, Roanoke, Virginia. You can contact this provider via phone number 5403442071 and fax number 5409828490. The mailing address for Gill Memorial Ent Clinic, Pc is 707 S Jefferson St Fl 5, Roanoke, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gill Memorial Ent Clinic, Pc |
|---|---|
| Address | 707 S Jefferson St Fl 5, Roanoke, Virginia |
| Phone Number | 5403442071 |
| Fax Number | 5409828490 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Hanabury R Mark |
| Credentials | M.D. |
| Telephone Number | 5403442071 |
NPI Number Detail
| NPI Number | 1497957419 |
|---|---|
| Provider Enumeration Date | 2007-06-01 |
| Last Updated Date | 2007-07-30 |
Provider Mailing Address Detail
| Address | 707 S Jefferson St Fl 5 |
|---|---|
| City | Roanoke |
| State | Virginia (VA) |
| Post Code | 240165100 |
| Phone Number | 5403442071 |
| Fax Number | 5409828490 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 101031266 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4243474 | VA | AETNA | |
| 143175 | VA | ANTHEM | |
| 243144 | VA | SOUTHERN HEALTH | |
| P00143294 | VA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Gill Memorial Ent Clinic, Pc's 1497957419?
The Gill Memorial Ent Clinic, Pc's NPI (National Provider Identifier) Number is 1497957419. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Gill Memorial Ent Clinic, Pc is physically located?
The Gill Memorial Ent Clinic, Pc is physically situated at the following address: 707 S Jefferson St Fl 5, Roanoke, VA, 240165100.
What is Gill Memorial Ent Clinic, Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gill Memorial Ent Clinic, Pc is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Gill Memorial Ent Clinic, Pc receive its 1497957419 assignment from the Centers for Medicare & Medicaid Services?
The Gill Memorial Ent Clinic, Pc was assigned its 1497957419 by the Centers for Medicare & Medicaid Services on 2007-06-01.
When was the Gill Memorial Ent Clinic, Pc's information last updated?
The Gill Memorial Ent Clinic, Pc's information was last updated on 2007-07-30.