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Individual

MARY ALICE GILLINGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1915 EISENHOWER DR, SAVANNAH, GA 31406-5027
(912) 356-2011
Mailing address
106 CHOWNING DR, SAVANNAH, GA 31419-9534
(912) 661-4547

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN107620
GA

Other

Enumeration date
07/05/2018
Last updated
07/05/2018
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