Samuel Nixon Gillespie in Moulton - Adult Medicine
Samuel Nixon Gillespie - NPI 1184612095
Samuel Nixon Gillespie is a Adult Medicine in Moulton, Alabama. Samuel Nixon Gillespie practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Samuel Nixon Gillespie is 1184612095. The last update date is 2023-03-07.
Samuel Nixon Gillespie's current location address is 94 Medical Cir, Moulton, Alabama. You can contact this provider via phone number 2569749216 and fax number 2569748211. The mailing address for Samuel Nixon Gillespie is 94 Medical Cir, Moulton, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel Nixon Gillespie |
|---|---|
| Address | 94 Medical Cir, Moulton, Alabama |
| Phone Number | 2569749216 |
| Fax Number | 2569748211 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1184612095 |
|---|---|
| Provider Enumeration Date | 2005-10-13 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 94 Medical Cir |
|---|---|
| City | Moulton |
| State | Alabama (AL) |
| Post Code | 356501256 |
| Phone Number | 2569749216 |
| Fax Number | 2569748211 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 12662 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12662 | AL | MEDICAL LICENSE | |
| 12662 | AL | CDS | |
| 01D0302603 | AL | CLIA | |
| 529402270 | AL | -- |
Post Comment/ Review Below
Could you share the physical location details of Samuel Nixon Gillespie?
The Samuel Nixon Gillespie is situated at 94 Medical Cir, in the city of Moulton, state of AL, with the zip code 356501256.
When did Samuel Nixon Gillespie receive its 1184612095 assignment?
The Samuel Nixon Gillespie was assigned its 1184612095 on 2005-10-13, which is the date when this unique identifier was issued to the organization.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1184612095 to Samuel Nixon Gillespie?
The Centers for Medicare & Medicaid Services originally issued the 1184612095 to Samuel Nixon Gillespie on 2005-10-13.
As of what date were the details pertaining to Samuel Nixon Gillespie last refreshed?
The information related to the Samuel Nixon Gillespie, including its address, specialty, and other relevant details, was last updated on 2023-03-07.
When was the information regarding Samuel Nixon Gillespie, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Samuel Nixon Gillespie, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-03-07.