Individual
DR. ANNA GEORGINA C. GILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1111 RONALD REAGAN PKWY, B1100, AVON, IN 46123-7085
(317) 948-2700
(317) 948-2959
Mailing address
PO BOX 1026, INDIANAPOLIS, IN 46206-1026
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01066917
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200947390
—
IN
Enumeration date
05/21/2007
Last updated
07/28/2016
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