Individual
MARY GILLMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1316 PATTON AVE STE D, ASHEVILLE, NC 28806-2652
(828) 225-3100
(828) 225-3604
Mailing address
PO BOX 759194, BALTIMORE, MD 21275-9194
(540) 710-6085
(540) 710-6447
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
267977
NC
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
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