Individual
TERRY M GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6144
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34596
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008516
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/27/2007
Last updated
08/03/2026
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