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Individual

DR. ROMINA GIL ILIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
ROPER ST.FRANCIS HOSPITAL, 316 CALHOUN SREET, CHARLESTON, SC 29401
(843) 724-2000
Mailing address
299 PRESIDENT ST, CHARLESTON, SC 29403-4643
(516) 857-2947

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
40527
SC
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
40527
SC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
405270
SC
Enumeration date
05/07/2008
Last updated
02/12/2021
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