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Organization
SHIELD MEDICAL LLC
Active
Organization
SHIELD MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD J GILLIAM PA-C (OWNER)
(256) 722-0555
Entity
Organization
Contact information
Practice address
1230 SLAUGHTER RD STE B, MADISON, AL 35758-5901
(256) 722-0555
(256) 830-5135
Mailing address
510 LORNA SQ, HOOVER, AL 35216-5480
(877) 225-3542
(877) 638-9903
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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