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General NPI Number Information
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NPI Number | 1548238017
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Entity Type | Individual
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Provider Name | ROY A. GILL M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 11/18/2008
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Provider Practice Location Address
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Address Line | 1405 SOUTH HIGH ST.
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City | COLUMBUS
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State | OH
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Zip | 43206
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Country | US
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Telephone | 614-293-3330
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Fax | 614-293-3336
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Provider Business Mailing Address
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Address Line | PO BOX 183103
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City | COLUMBUS
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State | OH
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Zip | 43218-3103
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | TP976
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35.089215
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License Number State | OH
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