Provider Demographics
NPI:1477331817
Name:GILLS ANESTHESIA SERVICES, LLC
Entity Type:Organization
Organization Name:GILLS ANESTHESIA SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:DENVER
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:434-250-6086
Mailing Address - Street 1:2883 WESTOVER DR
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-5443
Mailing Address - Country:US
Mailing Address - Phone:434-250-6086
Mailing Address - Fax:
Practice Address - Street 1:2883 WESTOVER DR
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-5443
Practice Address - Country:US
Practice Address - Phone:434-250-6086
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty