Samuel Thomas Gilliland, IDC
NPI #1679540645 in Jacksonville, Florida
Provider Information
- NPI Number
- 1679540645
- Entity Type
- Individual
- Name
- Samuel Thomas Gilliland, IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- IDC
- Enumeration Date
- Mar 8, 2006
- Last Updated
- Jul 30, 2012
Practice Location
- Address
- NAVAL HOSPITAL JACKSONVILLE
- Address 2
- 2080 CHILD ST
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32214-5000
- Phone
- (904) 542-3500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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