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Organization

GADSDEN WOMEN'S CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARIAN SUZANNE GILLILAND M.D. (OWNER)
(256) 492-7830
Entity
Organization

Contact information

Practice address
300 MEDICAL CENTER DR, SUITE 102, GADSDEN, AL 35903-1157
(256) 492-7830
Mailing address
300 MEDICAL CENTER DR, SUITE 102, GADSDEN, AL 35903-1157
(256) 492-7830

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26570
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1841341153
INDIVIDUAL NPI
AL
Enumeration date
07/19/2007
Last updated
07/19/2007
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