Individual provider · NPI-1

David Robert Gill, MSHS, PA

Physician Assistant · Waycross, GA

NPI number1952743932
StatusActive
Last updated in NPPESMay 1, 2015

Details

NPI
1952743932
Entity type
Individual (NPI-1)
Name
Mr. David Robert Gill
Credential
MSHS, PA
Sex
Male
Sole proprietor
No
Enumeration date
Jul 19, 2013
Last updated
May 1, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant006913GAYes
363A00000X Physician Assistant–GA

Practice location

1900 Tebeau St
Satilla Mayo Emergency Department
Waycross, GA 31501-6357

Phone 912-283-3030 · Fax 727-507-3618

Mailing address

13737 Noel Rd
Suite 1600
Dallas, TX 75240-1331

Phone 800-362-2731 · Fax 214-712-2444

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