Gilley, Anna Georgina C.

Gilley, Anna Georgina C. is an individual health care provider with primary practice located at 1111 Ronald Reagan Pkwy B1100, Avon IN 46123-7085. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gilley, Anna Georgina C. can be contacted via phone (317) 948-2700.

Contact Information

Primary practice address
1111 Ronald Reagan Pkwy B1100 Avon IN 46123-7085
Fax: (317) 948-2959
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01066917 Indiana

Profile Details

NPI number 1477762185
LBN Legal business name Gilley, Anna Georgina C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Jul 28th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477762185 NPPES
Indiana MEDICAID 200947390

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