Theopolis Gilliam, MD Valid NPI

Individual provider · Gastroenterology Physician · Emporia, VA

NPI

1174566558

Type

Individual (Type 1)

Primary specialty

Gastroenterology Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207RG0100X

License number

0101041278 (VA)

Sex

Male

Sole proprietor

No

Enumerated

2006-06-14

Last updated

2020-02-06