Individual
KAREN LEVETTE GILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 LIBERTY ST, BROCKTON, MA 02301-5674
(508) 894-0400
Mailing address
1595 STONEY MOUNTAIN RD, MARTINSVILLE, VA 24112-1179
(276) 734-5497
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
223106
MA
2085R0202X
Diagnostic Radiology Physician
MD-071394-L
PA
Other
Enumeration date
07/19/2006
Last updated
11/16/2023
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