George Stephen Gilliam M.D.

NPI 1023016912 - Surgery - 208600000X

NPI Details
NPI 1023016912
Gender Male
Enumeration Date 07/13/2005
Last Updated 06/19/2015
Entity Type Individual
Active Over 12 years ago
Practice Location
2200 E PARRISH AVE
BLDG B, STE 203
OWENSBORO KY, 42303-1449, US
Phone (270) 691-9697
Fax (270) 691-0485
Business Location
2200 E PARRISH AVE
BLDG B, STE 203
OWENSBORO KY, 42303-1449, US
Phone (270) 691-9697
Fax (270) 691-0485
Toxanomy
Taxonomy Code 208600000X
License State Kentucky
License Number 41068
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According to our database, Dr. George Stephen Gilliam M.D. NPI is 1023016912, taxonomy code is 208600000X and license number is 41068, license state is located at Kentucky. George Stephen Gilliam M.D. physically located at 2200 E Parrish Ave, Owensboro KY, 42303-1449. NPI Number George Stephen Gilliam M.D. has the Individual type.

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1023016912 NPI number is provided on an as is basis without warranty of any kind. 1023016912 is maintained by the National Plan & Provider Enumeration System. The contents of George Stephen Gilliam M.D. are for informational purposes only.