Individual
MARY CHRISTINE GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6005 PARK AVE, MEMPHIS, TN 38119-5202
(901) 682-2872
(901) 682-9316
Mailing address
PO BOX 171181, MEMPHIS, TN 38187-1181
(901) 682-2872
(901) 682-9316
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
151481
TN
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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