David Mark Gilliam, MD Valid NPI

Individual provider · Cytopathology Physician · Walland, TN

NPI

1306884168

Type

Individual (Type 1)

Primary specialty

Cytopathology Physician (Pathology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207ZC0500X

License number

28962 (TN)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-06-03

Last updated

2010-07-26