Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES ANDREW GILLILAND, MD
ActiveCHARLES ANDREW GILLILAND, MD is a Sports Medicine healthcare provider located in ASHLAND, Kentucky. NPI 1366646192 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · ASHLAND, KY
Registration Details
- NPI Number
- 1366646192
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2007 (19.122264406441 yrs)
- Last Updated
- Nov 17, 2021
- Licenses
-
44777 (KY)24275 (WV)44777 (KY)
Practice Information
- Address
-
613 23RD STSTE G30ASHLAND, KY, 411012878Browse KY providers · Browse ZIP 41101
- Phone
- 6063270036
- Fax
- 6063291159
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
- Additional Specialty
- Sports Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.