# SHIELD MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508270349
- **Authorized official:** CHAD J GILLIAM PA-C (OWNER)
- **Authorized official phone:** (256) 722-0555

## Contact information

- **Practice address:** 1230 SLAUGHTER RD STE B, MADISON, AL 35758-5901
- **Practice address phone:** (256) 722-0555
- **Practice address fax:** (256) 830-5135
- **Mailing address:** 510 LORNA SQ, HOOVER, AL 35216-5480
- **Mailing address phone:** (877) 225-3542
- **Mailing address fax:** (877) 638-9903

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/19/2014
- **Last updated:** 06/19/2014