Organization
ADVANCED SURGERY OF ALEXANDRIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE KEVIN GILLIAN M.D. (PRESIDENT)
(703) 313-8808
Entity
Organization
Contact information
Practice address
8988 LORTON STATION BLVD, SUITE 202, LORTON, VA 22079-4733
(703) 313-8808
(703) 313-8850
Mailing address
PO BOX 7004, ALEXANDRIA, VA 22307-0004
(703) 313-8808
(703) 313-8850
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/09/2007
Last updated
06/10/2008
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