Basic Information
Provider Information | |||||||||
NPI: | 1720303266 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | GILLELAND TURNER | ||||||||
FirstName: | MEGHAN | ||||||||
MiddleName: | DANIELLE | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | MD | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: | GILLELAND | ||||||||
OtherFirstName: | MEGHAN | ||||||||
OtherMiddleName: | DANIELLE | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: | 1 | ||||||||
Mailing Information | |||||||||
Address1: | 220 CAMPUS BLVD STE 100 | ||||||||
Address2: |   | ||||||||
City: | WINCHESTER | ||||||||
State: | VA | ||||||||
PostalCode: | 226012888 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 5405365100 | ||||||||
FaxNumber: | 5405360235 | ||||||||
Practice Location | |||||||||
Address1: | 120 N COMMERCE AVE STE 255 | ||||||||
Address2: |   | ||||||||
City: | FRONT ROYAL | ||||||||
State: | VA | ||||||||
PostalCode: | 226302682 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 5406350800 | ||||||||
FaxNumber: | 5406350801 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 03/27/2010 | ||||||||
LastUpdateDate: | 02/27/2021 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 02/27/2021 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 0101253571 | VA | Y |   | Allopathic & Osteopathic Physicians | Internal Medicine |   | 207R00000X | 24319 | MS | N |   | Allopathic & Osteopathic Physicians | Internal Medicine |   |
No ID Information.