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NPI Code Detail

MEDICARE: DR. JENNIFER R GILES O.D.

MEDICARE: DR. JENNIFER R GILES O.D.
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
1152W00000XOptometristTA1600MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841293040
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER R GILES O.D.
Provider Business Mailing Address
First Line : 31519 WINTERPLACE PKWY
Second Line : STE 1
City : SALISBURY
State : MD
Zip : 21804-1884
Country : US
Telephone Number : 410-546-2500
Fax Number : 410-546-5005
Provider Business Practice Location Address
First Line : 31519 WINTERPLACE PKWY
Second Line : STE 1
City : SALISBURY
State : MD
Zip : 21804-1884
Country : US
Telephone Number : 410-546-2500
Fax Number : 410-546-5005
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 12/04/2020

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