Individual
MS. KATHERINE ANNE GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3480 WAKE FOREST RD, SUITE 512, RALEIGH, NC 27609-7300
(919) 862-5970
(919) 862-5975
Mailing address
508 LOBLOLLY DR, DURHAM, NC 27712-8723
(919) 765-5957
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
104096
NC
Other
Enumeration date
08/02/2006
Last updated
10/09/2007
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