Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 527530 | TX |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 32572 | AL |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | P3157 | TX |
NPI | 1760616924 |
---|---|
Provider Name | Mary Elizabeth Gilmer |
First Address | Birmingham, AL 35235-3134 |
Second Address | Birmingham, AL 35235-3134 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2009 |
Last Update Date | 25/05/2016 |