Individual provider · Type 1 NPI

Mary Katherine Gillingham, NP-C

Family Nurse Practitioner · Simpsonville, SC

NPI number 1154634061 Active

Practice location

35 Ray E Talley Ct
Simpsonville, SC 29680-6772

Call (864) 967-7028 Map

Fax (864) 228-0915

Mailing address

10 Dacus Dr
Greenville, SC 29605-6008

Other practice locations

  • 2126 N Highway 81, Anderson, SC 29621 · (864) 226-2660

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200X51001 (SC)
Family Nurse Practitioner Primary 363LF0000XAPN.4297 APRN (SC)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

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About NPI 1154634061

Mary Katherine Gillingham, NP-C's National Provider Identifier is 1154634061, issued on Jul 20, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Simpsonville, SC. The record was last updated on Oct 22, 2018.