Individual
MR. EDWARD A GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1102 ROBERTS ST, CAMDEN, SC 29020-3734
(803) 432-7682
(803) 424-2423
Mailing address
PO BOX 7003, CAMDEN, SC 29021-7003
(803) 432-7682
(803) 424-2423
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
14810
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020037705
RAILROAD MEDICARE PIN
SC
05
—
148102
—
SC
01
—
81997
MEDCOST PIN
—
Enumeration date
05/16/2006
Last updated
03/20/2015
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