Timothy G Gillum in Marion - Specialist

Timothy G Gillum - NPI 1316994791

Timothy G Gillum is a Specialist in Marion, Indiana. Timothy G Gillum practices all healthcare services and medical treatments related to Specialist. The NPI Number for Timothy G Gillum is 1316994791. The last update date is 2016-05-09.

Timothy G Gillum's current location address is 801 W Gardner Dr, Marion, Indiana. You can contact this provider via phone number 7656514278 and fax number 7656646445. The mailing address for Timothy G Gillum is 801 W Gardner Dr, Marion, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy G Gillum
Address 801 W Gardner Dr, Marion, Indiana
Phone Number 7656514278
Fax Number 7656646445
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1316994791
Provider Enumeration Date 2006-05-30
Last Updated Date 2016-05-09

Provider Mailing Address Detail

Address 801 W Gardner Dr
City Marion
State Indiana (IN)
Post Code 469521819
Phone Number 7656514278
Fax Number 7656646445

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 01055912A
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200434290A IN --

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FAQs about Timothy G Gillum

What is the unique 10-digit identification code assigned to Timothy G Gillum by the Centers for Medicare & Medicaid Services?

The Timothy G Gillum has been issued the NPI (National Provider Identifier) 1316994791, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Timothy G Gillum located?

The Timothy G Gillum is located at 801 W Gardner Dr, Marion, IN 469521819.

What is the Timothy G Gillum's area of specialization and corresponding taxonomy classification?

The Timothy G Gillum's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1316994791 to Timothy G Gillum?

The Timothy G Gillum received its 1316994791 assignment from the Centers for Medicare & Medicaid Services on 2006-05-30.

When was the information pertaining to Timothy G Gillum most recently updated or revised?

The details related to Timothy G Gillum, including its address, specialty, and other relevant information, were last updated or revised on 2016-05-09.

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