# IVY GILMORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1295683845
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2471C3401X | Computed Tomography Radiologic Technologist | 322854 | GA | — |
| 2471M1202X | Magnetic Resonance Imaging Radiologic Technologist | 322854 | GA | Yes |

## Other

- **Enumeration date:** 03/19/2026
- **Last updated:** 03/19/2026