Individual
JOHN DONALD GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0100
Mailing address
911 ROYER DR, CHARLOTTESVILLE, VA 22902-6469
(434) 981-5441
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
PENDING
MD
Other
Enumeration date
04/29/2020
Last updated
04/29/2020
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