Individual
DR. MARY G.F. GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 MOYE BLVD, ECU PHYSICIANS PATHOLOGY, GREENVILLE, NC 27834-4300
(252) 744-2803
(252) 744-3616
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3253
(252) 744-3194
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
37832
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220020369
RAILROAD MEDICARE
NC
01
—
35559
BCBS NC
NC
05
—
8935559
—
NC
Enumeration date
08/17/2005
Last updated
11/16/2011
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