Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 0101249451 | VA |
Y | 207P00000X | Emergency Physician | MD0000048506 | TN |
NPI | 1013175934 |
---|---|
Provider Name | Frances Gill |
First Address | Arlington, VA 22207-4555 |
Second Address | Fort Campbell, KY 42223-5318 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2008 |
Last Update Date | 20/01/2022 |