Individual
PAMELA MICHELLE GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
394 SINGLETON RIDGE RD, CONWAY, SC 29526-9150
(843) 347-8765
Mailing address
394 SINGLETON RIDGE RD, CONWAY, SC 29526-9150
(843) 347-8765
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
22590
SC
363L00000X
Nurse Practitioner
Primary
22590
FL
Other
Enumeration date
02/13/2019
Last updated
05/24/2019
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