Samuel Nixon Gillespie, MD Valid NPI

Individual provider · Family Medicine Physician · Moulton, AL

NPI

1184612095

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

12662 (AL)

Sex

Male

Sole proprietor

No

Enumerated

2005-10-13

Last updated

2023-03-07