Gilleon, Spencer Elwood

Gilleon, Spencer Elwood is an individual health care provider with primary practice located at 1405 Centerville Rd Suite 5400, Tallahassee FL 32308-4655. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Gilleon, Spencer Elwood can be contacted via phone (850) 877-0101.

Contact Information

Primary practice address
1405 Centerville Rd Suite 5400 Tallahassee FL 32308-4655
Phone: (850) 877-0101
Fax: (850) 877-2750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME0059563 Florida

Profile Details

NPI number 1891707857
LBN Legal business name Gilleon, Spencer Elwood
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891707857 NPPES
Georgia MEDICAID 00459247A
Georgia MEDICAID 052136100
Georgia Other 12271

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