Gilliland, Charles Arthur

Gilliland, Charles Arthur is an sole proprietor health care provider with primary practice located at 1133 Eagles Landing Pkwy , Stockbridge GA 30281-5085. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Gilliland, Charles Arthur can be contacted via phone (770) 607-7339.

Contact Information

Primary practice address
1133 Eagles Landing Pkwy Stockbridge GA 30281-5085
Phone: (770) 607-7339
Fax: (678) 905-7053
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 72264 Georgia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X RADIOLOGY Tennessee
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 72264 Georgia

Profile Details

NPI number 1558584086
LBN Legal business name Gilliland, Charles Arthur
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558584086 NPPES
Missouri Other 2011016762 LICENSE

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