Gilliam, Kevin Robert
Gilliam, Kevin Robert is an individual health care provider with primary practice located at 5901-B Peachtree Dunwoody Road , Atlanta GA 30328-7156. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as his primary health care specialty. Gilliam, Kevin Robert can be contacted via phone (404) 252-9751.Contact Information
Primary practice address
5901-B Peachtree Dunwoody Road
Atlanta GA 30328-7156
Phone: (404) 252-9751
Fax: (404) 255-5783
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | RN252629 | Georgia |
Profile Details
| NPI number | 1548716806 |
|---|---|
| LBN Legal business name | Gilliam, Kevin Robert |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2016 |
| Last updated | Aug 28th, 2016 - about 10 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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