Individual
GILLIAN MARIE DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1995 BETHABARA RD, WINSTON SALEM, NC 27106-3375
(336) 759-7596
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NC
Other
Enumeration date
06/07/2025
Last updated
12/09/2025
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