Individual
ELIZABETH ANN GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 MEDICAL CENTER DR., SUITE 101, GADSDEN, AL 35903-1130
(256) 492-8590
(256) 492-4498
Mailing address
100 MEDICAL CENTER DR., SUITE 101, GADSDEN, AL 35903-1130
(256) 492-8590
(256) 492-8590
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA327
AL
363A00000X
Physician Assistant
Primary
—
AL
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051552228
—
AL
01
—
51512148
BCBS AL
AL
05
—
51552228
—
AL
Enumeration date
07/10/2006
Last updated
10/01/2020
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