Gregory Dwight Gilliam
NPI #1306162813 in Fort Rucker, Alabama
Provider Information
- NPI Number
- 1306162813
- Entity Type
- Individual
- Name
- Gregory Dwight Gilliam
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Emergency Medical Technician, Paramedic
- Enumeration Date
- Apr 9, 2010
- Last Updated
- Apr 9, 2010
Practice Location
- Address
- 301 ANDREWS AVE.
- Address 2
- LYSTER ARMY HEALTH CLINIC
- City
- Fort Rucker
- State
- Alabama
- ZIP Code
- 36362
- Phone
- (334) 255-7387
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medical Technician, Paramedic |
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