Gregory Dwight Gilliam Valid NPI
Individual provider · Paramedic · Fort Rucker, AL
- NPI
- 1306162813
- Type
- Individual (Type 1)
- Primary specialty
- Paramedic (Emergency Medical Technician, Paramedic)
- Specialty group
- Emergency Medical Service Providers
- Taxonomy code
- 146L00000X
- License number
- 0200044 (AL)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2010-04-09
- Last updated
- 2010-04-09
Practice location
301 Andrews Ave., Lyster Army Health Clinic
Fort Rucker, AL 36362
(334) 255-7387