Individual
DR. WALTUS HUGHES GILL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1019 VISTA PARK DR, SUITE A, FOREST, VA 24551-0278
(434) 200-9009
(434) 200-9005
Mailing address
1019 VISTA PARK DR, SUITE A, FOREST, VA 24551-0278
(434) 200-9009
(434) 200-9005
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101253786
VA
208600000X
Surgery Physician
0101253786
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013168004
—
VA
Enumeration date
10/08/2008
Last updated
08/01/2016
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