Larry Austin Gilliam in Chattanooga - Family Medicine
Larry Austin Gilliam - NPI 1699774216
Larry Austin Gilliam is a Family Medicine in Chattanooga, Tennessee. Larry Austin Gilliam practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Larry Austin Gilliam is 1699774216. The last update date is 2007-07-08.
Larry Austin Gilliam's current location address is 81 Lakeshore Ln, Chattanooga, Tennessee. You can contact this provider via phone number 4236675972 and fax number 4238772580. The mailing address for Larry Austin Gilliam is 81 Lakeshore Ln, Chattanooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Austin Gilliam |
|---|---|
| Address | 81 Lakeshore Ln, Chattanooga, Tennessee |
| Phone Number | 4236675972 |
| Fax Number | 4238772580 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1699774216 |
|---|---|
| Provider Enumeration Date | 2005-07-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 81 Lakeshore Ln |
|---|---|
| City | Chattanooga |
| State | Tennessee (TN) |
| Post Code | 374157020 |
| Phone Number | 4236675972 |
| Fax Number | 4238772580 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 24516 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique identification code assigned to Larry Austin Gilliam by the Centers for Medicare & Medicaid Services?
The Larry Austin Gilliam has been issued the NPI (National Provider Identifier) 1699774216. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Larry Austin Gilliam's facilities are situated?
The facilities of Larry Austin Gilliam are physically located at the following address: 81 Lakeshore Ln, Chattanooga, TN, 374157020.
What is Larry Austin Gilliam's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Larry Austin Gilliam's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date was the 1699774216 assigned to Larry Austin Gilliam?
The Larry Austin Gilliam was issued its 1699774216 on 2005-07-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Larry Austin Gilliam's information last updated?
The Larry Austin Gilliam's information was last updated on 2007-07-08.