Individual
MS. RACHEL VERONICA GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.A.
Contact information
Practice address
4700 WATERS AVE, DEPARTMENT OF SYSTEM CREDENTIALING, SAVANNAH, GA 31404-6220
(912) 350-8758
(912) 350-6509
Mailing address
4700 WATERS AVE, DEPARTMENT OF SYSTEM CREDENTIALING, SAVANNAH, GA 31404-6220
(912) 350-8758
(912) 350-6509
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
005714
GA
367H00000X
Anesthesiologist Assistant
1964
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109516991A
—
GA
Enumeration date
10/28/2009
Last updated
01/12/2011
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