Individual
BILLY GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
1161 WINDHAVEN CIR, APT H, BROWNSBURG, IN 46112-7921
(317) 286-3241
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27055742A
IN
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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