Individual
DR. MARLIN DOUGLAS GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2422 DANVILLE RD SW, SUITE E, DECATUR, AL 35603-4220
(256) 355-9040
(256) 355-9048
Mailing address
PO BOX 5750, 2422 DANVILLE ROAD., SW SUITE E, DECATUR, AL 35601-0750
(256) 355-9040
(256) 355-9048
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12215
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004083823
AETNA
—
01
—
0110289
UNITED HEALTHCARE
—
01
—
51089836
BLUE CROSS BLUE SHIELD
AL
05
—
529402090
—
AL
01
—
6309683290009
CIGNA
—
Enumeration date
08/31/2006
Last updated
10/01/2020
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