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NPI Code Detail

MEDICARE: MS. MELISSA ANN GILL PA-C

MEDICARE: MS. MELISSA ANN GILL PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant0110008842VA

General Provider Information

NPI Number : 1598419434
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELISSA ANN GILL PA-C
Provider Business Mailing Address
First Line : PO BOX 45923
Second Line :
City : BALTIMORE
State : MD
Zip : 21297-5923
Country : US
Telephone Number : 434-385-5600
Fax Number : 434-385-5136
Provider Business Practice Location Address
First Line : 1825 GRAVES MILL RD
Second Line :
City : FOREST
State : VA
Zip : 24551-3967
Country : US
Telephone Number : 434-385-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2022
Last Update Date : 01/23/2026

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