Individual
CHARLES B GILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
2700 HOSPITAL DR, NORTHPORT, AL 35476-3360
(205) 366-3334
Mailing address
8530 DIAMOND OAK DR, TUSCALOOSA, AL 35405-7418
(205) 759-2186
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1074860
AL
Other
Enumeration date
10/21/2005
Last updated
02/28/2014
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