Individual
MARY LEIGH GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1013 AVALON AVE, MUSCLE SHOALS, AL 35661-2401
(256) 381-2100
(256) 381-4844
Mailing address
1013 AVALON AVE, MUSCLE SHOALS, AL 35661-2401
(256) 381-2100
(256) 381-4844
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5185
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36209
BCBS OF ALABAMA
AL
Enumeration date
05/28/2008
Last updated
05/28/2008
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