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Individual
DR. WADDELL H GILMORE III
Active
Individual
DR. WADDELL H GILMORE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
9782
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
097825
—
SC
05
—
DM0683
—
SC
01
—
P00834851
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
09/30/2005
Last updated
09/30/2022
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