Individual
MRS. BETHANY JOY RUDGE GILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
465 N BELAIR RD, SUITE 1 B, EVANS, GA 30809-3188
(706) 868-3100
Mailing address
465 N BELAIR RD, SUITE 1 B, EVANS, GA 30809-3188
(706) 868-3100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2098
TN
Other
Enumeration date
03/22/2012
Last updated
09/24/2012
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