NPI

Jacquelyn S. Gill

NPI 1194145615

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
M.D
Type
Individual
Enumeration date
2014-04-23
Last updated
2023-12-12

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Specialties

Licenses

License NC
201034
License SC
40865

Location

Practice location
216 E Marion St
City
Kershaw SC
Postal code
29067
Phone
(803) 475-3350

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Kershaw, SC. 62 records in the public file.

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