Individual
CHARLES GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 ELECTRIC RD, SALEM, VA 24153-7474
(540) 776-4000
(540) 776-2083
Mailing address
1900 ELECTRIC RD, SALEM, VA 24153-7474
(540) 776-4000
(540) 776-2083
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
0101025788
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010402930
—
VA
01
—
P00276903
MEDICARE RAILROAD
VA
01
—
P00403455
MEDICARE RAILROAD
—
Enumeration date
01/05/2006
Last updated
03/20/2009
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