Antonio Gilliam
NPI #1013516921 in Beckley, West Virginia
Provider Information
- NPI Number
- 1013516921
- Entity Type
- Individual
- Name
- Antonio Gilliam
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Oct 21, 2020
- Last Updated
- Jan 10, 2023
Practice Location
- Address
- 104 RICE ST
- City
- Beckley
- State
- West Virginia
- ZIP Code
- 25801-6524
- Phone
- (304) 640-8209
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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