Provider Demographics
NPI:1881497931
Name:SENTER, GILLIAN ELIZABETH (MD)
Entity type:Individual
Prefix:
First Name:GILLIAN
Middle Name:ELIZABETH
Last Name:SENTER
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:GILLIAN
Other - Middle Name:ELIZABETH
Other - Last Name:STUBER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:732 THORNHILL RD
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42431-8661
Mailing Address - Country:US
Mailing Address - Phone:270-452-1069
Mailing Address - Fax:
Practice Address - Street 1:1 MEDICAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-0001
Practice Address - Country:US
Practice Address - Phone:336-716-2694
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program