Individual
MELISSA A GILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
13540 HULL STREET RD, MIDLOTHIAN, VA 23112-2107
(804) 739-6142
(804) 739-8923
Mailing address
13540 HULL STREET RD, MIDLOTHIAN, VA 23112-2107
(804) 739-6142
(804) 739-8923
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2020-02437
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2016
Last updated
12/09/2025
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