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
Address 37855 Waterloo Rd, Coltons Point, Maryland
Phone Number 5712152155
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1972548584
Provider Enumeration Date 2006-06-18
Last Updated Date 2020-02-24

Provider Mailing Address Detail

Address 37855 Waterloo Rd
City Coltons Point
State Maryland (MD)
Post Code 206262102
Phone Number 5712152155
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
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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FAQs about Shannon L Gilliam

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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