Individual
JACQUELYN S. GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
216 E MARION ST, KERSHAW, SC 29067
(803) 475-3350
Mailing address
216 E MARION ST, KERSHAW, SC 29067
(803) 475-3350
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
201034
NC
207R00000X
Internal Medicine Physician
Primary
40865
SC
Other
Enumeration date
04/23/2014
Last updated
12/12/2023
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