Individual
DR. JAMES EARNEST GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 S LINDEN AVE, WAYNESBORO, VA 22980-3505
(540) 213-7720
(540) 949-0545
Mailing address
17 N MEDICAL PARK DR, FISHERSVILLE, VA 22939-2344
(540) 213-7720
(540) 213-7728
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101030015
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006301631
—
VA
01
—
059573
BLUE CROSS BLUE SHIELD
VA
01
—
180019580
RAILROAD MEDICARE
—
Enumeration date
05/24/2005
Last updated
07/07/2020
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