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Individual

JAMES R GILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5629 HWY 21 SOUTH, RINCON, GA 31326
(912) 295-2133
(912) 295-5924
Mailing address
5629 HWY 21 SOUTH, RINCON, GA 31326
(912) 295-2133
(912) 295-5924

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
L9207
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
168546301
TX
Enumeration date
10/13/2005
Last updated
06/06/2022
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