Individual
BRENT RICHARD GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2604 DR MARTIN LUTHER KING JR BLVD, NEW BERN, NC 28562-4238
(252) 638-4023
(252) 633-2833
Mailing address
PO BOX 896206, CHARLOTTE, NC 28289-6206
(252) 638-4023
(252) 633-2833
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9800871
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891173W
—
NC
Enumeration date
01/23/2006
Last updated
03/17/2017
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