Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN TERI MCGILLIS, M.D.
Active Sole ProprietorSUSAN TERI MCGILLIS, M.D. is a Procedural Dermatology healthcare provider located in LANCASTER, Pennsylvania. NPI 1750345278 is currently active in the NPPES registry. Verify at CMS.
Procedural Dermatology · LANCASTER, PA
Registration Details
- NPI Number
- 1750345278
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 13, 2006 (20.348905696191 yrs)
- Last Updated
- Dec 22, 2016
- Licenses
-
35058536M (OH)MD430176 (PA)MD430176 (PA)MD430176 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
230 HARRISBURG AVESTE 4LANCASTER, PA, 176032959Browse PA providers · Browse ZIP 17603
- Phone
- 7173999800
- Fax
- 7173997613
- Primary Specialty
-
Procedural Dermatology
207NS0135X
- Additional Specialty
- Obesity Medicine
- Additional Specialty
- Dermatology
- Additional Specialty
- Procedural Dermatology
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.