Individual
ERIC RICHARD GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3370 FRONTIS ST, WINSTON SALEM, NC 27103-5548
(336) 890-2460
(336) 271-7100
Mailing address
1540 E BROAD ST, STATESVILLE, NC 28625-4302
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-13132
NC
Other
Enumeration date
07/19/2023
Last updated
01/17/2025
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