Individual
MRS. JAMIE EDENS GILLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
120 GATEWAY CORPORATE BLVD, COLUMBIA, SC 29203-9611
(828) 230-6487
Mailing address
120 GATEWAY CORPORATE BLVD, COLUMBIA, SC 29203-9611
(828) 230-6487
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
236151
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
17885
SC
Other
Enumeration date
04/23/2012
Last updated
07/17/2012
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