Provider Demographics
NPI:1790752673
Name:GILMER, ROBERT DICKENSON (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:DICKENSON
Last Name:GILMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 BARTER DR
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24210-2918
Mailing Address - Country:US
Mailing Address - Phone:276-628-9794
Mailing Address - Fax:276-676-6612
Practice Address - Street 1:470 WALDON RD
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24210-2206
Practice Address - Country:US
Practice Address - Phone:276-628-9794
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101025190207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology