Individual
GILLIAN W ATHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15245 SHADY GROVE RD STE 480, ROCKVILLE, MD 20850-6243
(301) 264-5958
Mailing address
15245 SHADY GROVE RD STE 480, ROCKVILLE, MD 20850-6243
(301) 264-5958
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110005058
VA
363A00000X
Physician Assistant
Primary
C0005869
MD
363A00000X
Physician Assistant
PA030995
DC
Other
Enumeration date
10/29/2013
Last updated
03/24/2022
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