Individual
DR. JEREMY THOMAS GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
195 KIMEL PARK DR STE 200, WINSTON SALEM, NC 27103-6967
(336) 768-6211
Mailing address
195 KIMEL PARK DR STE 200, WINSTON SALEM, NC 27103-6967
(336) 768-6211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036134921
IL
207R00000X
Internal Medicine Physician
Primary
2021-00899
NC
208M00000X
Hospitalist Physician
036134921
IL
Other
Enumeration date
04/12/2011
Last updated
08/07/2024
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