Gilliam, Francis Roosevelt
Gilliam, Francis Roosevelt is an individual health care provider with primary practice located at 115 N Sumter St Ste 410 , Sumter SC 29150. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Gilliam, Francis Roosevelt can be contacted via phone (803) 774-9797.Contact Information
Primary practice address
115 N Sumter St Ste 410
Sumter SC 29150
Phone: (803) 774-9797
Fax: (803) 774-9796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 14615 | South Carolina |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 14615 | South Carolina |
Profile Details
| NPI number | 1891704474 |
|---|---|
| LBN Legal business name | Gilliam, Francis Roosevelt |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891704474 | NPPES |
| North Carolina | MEDICAID | 8935558 | |
| North Carolina | Other | 14615 | |
| North Carolina | Other | 27190 | |
| North Carolina | Other | 0101043514 | |
| North Carolina | MEDICAID | Q27190 |
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