Jackie L. Gilliard in Crofton - Pediatrics
Jackie L. Gilliard - NPI 1134139645
Jackie L. Gilliard is a Pediatrics in Crofton, Maryland. Jackie L. Gilliard practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jackie L. Gilliard is 1134139645. The last update date is 2007-07-08.
Jackie L. Gilliard's current location address is 2225 E Defense Highway, Crofton, Maryland. You can contact this provider via phone number 4107212273. The mailing address for Jackie L. Gilliard is 2225 E Defense Highway, Crofton, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jackie L. Gilliard |
|---|---|
| Address | 2225 E Defense Highway, Crofton, Maryland |
| Phone Number | 4107212273 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1134139645 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2225 E Defense Highway |
|---|---|
| City | Crofton |
| State | Maryland (MD) |
| Post Code | 21114 |
| Phone Number | 4107212273 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | D0035935 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 208511900 | MD | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jackie L. Gilliard by the Centers for Medicare & Medicaid Services?
The Jackie L. Gilliard has been assigned the NPI (National Provider Identifier) 1134139645 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Jackie L. Gilliard is physically located?
The Jackie L. Gilliard is situated at the following address: 2225 E Defense Highway, Crofton, MD 21114.
What is the area of specialization for Jackie L. Gilliard, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jackie L. Gilliard is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.
On what date was the 1134139645 assigned to Jackie L. Gilliard?
The Jackie L. Gilliard was issued its 1134139645 on 2006-08-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jackie L. Gilliard last refreshed?
The information related to the Jackie L. Gilliard, including its address, specialty, and other relevant details, was last updated on 2007-07-08.