Organization
FOR WOMEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCUS W GILLIKIN MD,MBA (CONSULTANT)
(252) 353-7162
Entity
Organization
Contact information
Practice address
727 EASTOWNE DR, 200-A, CHAPEL HILL, NC 27514-2214
(919) 401-4515
(919) 401-4514
Mailing address
PO BOX 30696, GREENVILLE, NC 27833-0696
(252) 353-7162
(252) 353-1760
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
9400307
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8959981
—
NC
Enumeration date
08/17/2006
Last updated
08/22/2020
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