Organization
GILL ORTHOPAEDIC CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOWELL HARLEY GILL M.D. (C.E.O.)
(704) 342-3544
Entity
Organization
Contact information
Practice address
1918 RANDOLPH RD, SUITE 700, CHARLOTTE, NC 28207-1100
(704) 342-3544
(704) 370-6652
Mailing address
1918 RANDOLPH RD, SUITE 700, CHARLOTTE, NC 28207-1100
(704) 342-3544
(704) 370-6652
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
225100000X
Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
2471C3402X
Radiography Radiologic Technologist
Primary
—
—
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89014R8
—
NC
Enumeration date
09/26/2006
Last updated
09/11/2025
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