Individual
DR. CHARLES L MCGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
(360) 923-7089
Mailing address
1610 BISHOP RD SW, SUITE 101, TUMWATER, WA 98512
(360) 736-4151
(360) 736-4154
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00038212
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080193965
RAILROAD MEDICARE
WA
01
—
2550MC
REGENCE
WA
05
—
8251589
—
WA
Enumeration date
07/31/2006
Last updated
02/01/2023
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