Gilliam, Gregory Dwight

Gilliam, Gregory Dwight is an sole proprietor health care provider with primary practice located at 301 Andrews Ave. Lyster Army Health Clinic, Fort Rucker AL 36362. He recently has only one registered license in Emergency Medical Service Providers / Emergency Medical Technician, Paramedic, which is considered as his primary health care specialty. Gilliam, Gregory Dwight can be contacted via phone (334) 255-7387.

Contact Information

Primary practice address
301 Andrews Ave. Lyster Army Health Clinic Fort Rucker AL 36362
Phone: (334) 255-7387
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Paramedic 146L00000X 0200044 Alabama

Profile Details

NPI number 1306162813
LBN Legal business name Gilliam, Gregory Dwight
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2010
Last updated Apr 9th, 2010 - about 15 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.

Request for update

Popular Providers