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1215927223
CHARLES B GILLS
NORTHPORT, AL
NPI
1215927223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1074860)
Enumeration Date
2005-10-21
Last Update Date
2014-02-28
Business Address
-- CHARLES B GILLS Nurse Practitioner
2700 HOSPITAL DR
NORTHPORT, AL 35476-3360
Phone number: 205-366-3334
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Mailing Address
-- CHARLES B GILLS Nurse Practitioner
8530 DIAMOND OAK DR
TUSCALOOSA, AL 35405-7418
Phone number: 205-759-2186
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