Individual
ALLAN LEE GILMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1025 VERDAE BLVD STE A, GREENVILLE, SC 29607-4032
(864) 242-4683
(864) 248-8104
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(803) 864-8603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23982
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LL4290
—
SC
01
—
P00894235
RAILROAD MEDICARE
SC
Enumeration date
09/25/2008
Last updated
03/31/2023
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