Individual
SAMUEL COPELAND GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
306 STANAFORD RD, BECKLEY, WV 25801-3142
(304) 255-3000
Mailing address
1055 QUINCE DR, ROCKINGHAM, VA 22801-5318
(304) 488-5588
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1228984
VA
Other
Enumeration date
10/21/2022
Last updated
01/27/2025
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