Gilliam, Robert Lee

Gilliam, Robert Lee is an individual health care provider with primary practice located at 1412 Elba Hwy , Troy AL 36079-6020. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gilliam, Robert Lee can be contacted via phone (334) 566-8822.

Contact Information

Primary practice address
1412 Elba Hwy Troy AL 36079-6020
Phone: (334) 566-8822
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15599 Alabama

Profile Details

NPI number 1164432308
LBN Legal business name Gilliam, Robert Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Mar 5th, 2013 - about 12 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 1164432308 NPPES
Alabama Other 051046137 BCBS
Alabama MEDICAID 631802004 BCBS

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