Individual
MS. CAROL MACNEAL GILLIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2772 RUTLAND ROAD, NIGHTTIME CARE CENTERS, DAVIDSONVILLE, MD 21035
(410) 721-2273
(443) 332-4265
Mailing address
8 RUXLEA CT, TOWSON, MD 21204-6401
(410) 825-5312
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C 202
MD
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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