George Stephen Gilliam in Owensboro - Specialist

George Stephen Gilliam - NPI 1023016912

George Stephen Gilliam is a Specialist in Owensboro, Kentucky. George Stephen Gilliam practices all healthcare services and medical treatments related to Specialist. The NPI Number for George Stephen Gilliam is 1023016912. The last update date is 2015-06-19.

George Stephen Gilliam's current location address is 2200 E Parrish Ave, Owensboro, Kentucky. You can contact this provider via phone number 2706919697 and fax number 2706910485. The mailing address for George Stephen Gilliam is 2200 E Parrish Ave, Owensboro, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name George Stephen Gilliam
Address 2200 E Parrish Ave, Owensboro, Kentucky
Phone Number 2706919697
Fax Number 2706910485
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1023016912
Provider Enumeration Date 2005-07-13
Last Updated Date 2015-06-19

Provider Mailing Address Detail

Address 2200 E Parrish Ave
City Owensboro
State Kentucky (KY)
Post Code 423031449
Phone Number 2706919697
Fax Number 2706910485

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 22817
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
100329260B IN --
64228174 KY --
51542 KY BS OF KY
611303681 KY COMMERCIAL INSURANCE

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FAQs about George Stephen Gilliam

What is the unique 10-digit identifier code assigned to George Stephen Gilliam by the Centers for Medicare & Medicaid Services?

The George Stephen Gilliam has been issued the NPI (National Provider Identifier) 1023016912 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where George Stephen Gilliam's facilities are geographically located?

The facilities of George Stephen Gilliam are physically situated at the following location: 2200 E Parrish Ave, Owensboro, KY, 423031449.

What is George Stephen Gilliam's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for George Stephen Gilliam is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

When did the George Stephen Gilliam receive its 1023016912?

The George Stephen Gilliam was issued its 1023016912 on 2005-07-13, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to George Stephen Gilliam last refreshed?

The information related to the George Stephen Gilliam, including its address, specialty, and other relevant details, was last updated on 2015-06-19.

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