Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 598 | NC |
NPI | 1013265495 |
---|---|
Provider Name | Dr. Andrea Gilroy |
First Address | Durham, NC 27713-1869 |
Second Address | Durham, NC 27713-1869 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2012 |
Last Update Date | 25/09/2013 |