Shannon L Gilliam in Coltons Point - Medical
Shannon L Gilliam - NPI 1972548584
Shannon L Gilliam is a Medical in Coltons Point, Maryland. Shannon L Gilliam practices all healthcare services and medical treatments related to Medical. The NPI Number for Shannon L Gilliam is 1972548584. The last update date is 2020-02-24.
Shannon L Gilliam's current location address is 37855 Waterloo Rd, Coltons Point, Maryland. You can contact this provider via phone number 5712152155. The mailing address for Shannon L Gilliam is 37855 Waterloo Rd, Coltons Point, Maryland. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shannon L Gilliam |
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Address | 37855 Waterloo Rd, Coltons Point, Maryland |
Phone Number | 5712152155 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1972548584 |
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Provider Enumeration Date | 2006-06-18 |
Last Updated Date | 2020-02-24 |
Provider Mailing Address Detail
Address | 37855 Waterloo Rd |
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City | Coltons Point |
State | Maryland (MD) |
Post Code | 206262102 |
Phone Number | 5712152155 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Medical |
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Taxonomy | 363Am0700X |
Licence No | C0003161 |
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the unique 10-digit identifier code assigned to Shannon L Gilliam by the Centers for Medicare & Medicaid Services?
The Shannon L Gilliam has been issued the NPI (National Provider Identifier) 1972548584 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Shannon L Gilliam's physical address?
The Shannon L Gilliam is physically located at 37855 Waterloo Rd, in the city of Coltons Point, MD, with the postal code 206262102.
What is the Shannon L Gilliam's specialty and taxonomy code?
The Shannon L Gilliam's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
On what date did the Shannon L Gilliam receive its 1972548584 assignment from the Centers for Medicare & Medicaid Services?
The Shannon L Gilliam was assigned its 1972548584 by the Centers for Medicare & Medicaid Services on 2006-06-18.
As of what date were the details related to Shannon L Gilliam most recently updated or revised?
The information pertaining to Shannon L Gilliam, including its address, specialty, and other relevant details, was last updated or revised on 2020-02-24.
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