Individual
ALEXANDER MATTHEW GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 OLD BALL GROUND HWY STE B, CANTON, GA 30114-2890
(770) 720-8000
(787) 440-2596
Mailing address
101 MANNING DR # 7231, CHAPEL HILL, NC 27514-4220
(919) 962-5136
(919) 962-4421
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
94584
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2018
Last updated
11/28/2023
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