Garry Gillis, ATC
NPI #1679546212 in Orange Park, Florida
Provider Information
- NPI Number
- 1679546212
- Entity Type
- Individual
- Name
- Garry Gillis, ATC
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Feb 13, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 540 KINGSLEY AVE
- City
- Orange Park
- State
- Florida
- ZIP Code
- 32073-4847
- Phone
- (904) 536-0548
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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