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Individual

MRS. BARBARA ANN GILLEYLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-ANP

Contact information

Practice address
2 MEDICAL PARK, SUITE 501, COLUMBIA, SC 29203-8903
(803) 540-1000
(803) 540-1011
Mailing address
2 MEDICAL PARK, SUITE 501, COLUMBIA, SC 29203-8903
(803) 540-1000
(803) 540-1011

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN 2927
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2927
APRN
SC
01
97175
RN LICENSE
SC
05
NP1377
SC
Enumeration date
08/28/2007
Last updated
05/05/2009
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