Individual
CAROL A GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
450 4TH AVENUE, SUITE 408, CHULA VISTA, CA 91910-4430
(619) 691-1990
(619) 691-5977
Mailing address
450 4TH AVENUE, SUITE 408, CHULA VISTA, CA 91910-4430
(619) 691-1990
(619) 691-5977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C41580
CA
207R00000X
Internal Medicine Physician
C41580
CA
207R00000X
Internal Medicine Physician
MD00046332
WA
Other
Enumeration date
07/10/2006
Last updated
03/31/2015
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