Individual
CHRISTEN ELAINE GILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
381 RUIN CREEK RD, HENDERSON, NC 27536-2932
(252) 430-0666
(252) 430-7503
Mailing address
381 RUIN CREEK RD, HENDERSON, NC 27536-2932
(252) 430-0666
(252) 430-7503
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-06757
NC
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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