Charles Buckley Gillock in Stuarts Draft - Urology

Charles Buckley Gillock - NPI 1053309229

Charles Buckley Gillock is a Urology in Stuarts Draft, Virginia. Charles Buckley Gillock practices all healthcare services and medical treatments related to Urology. The NPI Number for Charles Buckley Gillock is 1053309229. The last update date is 2022-05-26.

Charles Buckley Gillock's current location address is 24 Gloucester Rd, Stuarts Draft, Virginia. You can contact this provider via phone number 5403373710 and fax number 5403370930. The mailing address for Charles Buckley Gillock is 24 Gloucester Rd, Stuarts Draft, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Buckley Gillock
Address 24 Gloucester Rd, Stuarts Draft, Virginia
Phone Number 5403373710
Fax Number 5403370930
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1053309229
Provider Enumeration Date 2005-10-11
Last Updated Date 2022-05-26

Provider Mailing Address Detail

Address 24 Gloucester Rd
City Stuarts Draft
State Virginia (VA)
Post Code 244773321
Phone Number 5403373710
Fax Number 5403370930

Provider's Primary Taxonomy Detail

Speciality Urology
Taxonomy 208800000X
Licence No 101047505
Definition:
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7501188 VA --
279040 VA BCBS ANTHEM

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FAQs about Charles Buckley Gillock

What is the Charles Buckley Gillock's 1053309229?

The Charles Buckley Gillock's NPI (National Provider Identifier) Number is 1053309229. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Charles Buckley Gillock's physical address?

The Charles Buckley Gillock is physically located at 24 Gloucester Rd, in the city of Stuarts Draft, VA, with the postal code 244773321.

What is the Charles Buckley Gillock's area of specialization and corresponding taxonomy classification?

The Charles Buckley Gillock's specialty field is Urology, and it falls under the taxonomy code 208800000X, which categorizes healthcare providers based on their specialties.

On what date did the Charles Buckley Gillock receive its 1053309229 assignment from the Centers for Medicare & Medicaid Services?

The Charles Buckley Gillock was assigned its 1053309229 by the Centers for Medicare & Medicaid Services on 2005-10-11.

As of what date were the details related to Charles Buckley Gillock most recently updated or revised?

The information pertaining to Charles Buckley Gillock, including its address, specialty, and other relevant details, was last updated or revised on 2022-05-26.

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