Individual
MARCENE R. MCVAY GILLAM
Active
Individual
MARCENE R. MCVAY GILLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
E-4933
AR
208600000X
Surgery Physician
P3650
TX
2086S0120X
Pediatric Surgery Physician
42264
OK
2086S0120X
Pediatric Surgery Physician
E-4933
AR
2086S0120X
Pediatric Surgery Physician
Primary
P3650
TX
Other
Enumeration date
04/16/2007
Last updated
10/18/2024
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