Individual
JAMES WINSTON GILLS
Active
Individual
JAMES WINSTON GILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110005190
VA
363AS0400X
Surgical Physician Assistant
Primary
0110005190
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427415058
TRICARE
VA
01
—
14274150585
OPTIMA HEALTH PLAN
VA
Enumeration date
01/27/2016
Last updated
08/17/2016
Update your record
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