Individual
MRS. THERESA MARIE GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
68 THOMAS JOHNSON DR, SUITE C, FREDERICK, MD 21702-4300
(301) 694-5292
(301) 694-2319
Mailing address
68 THOMAS JOHNSON DR, SUITE C, FREDERICK, MD 21702-4300
(301) 694-5292
(301) 694-2319
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0003401
MD
Other
Enumeration date
01/31/2008
Last updated
05/16/2023
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