Individual
ZACHARY GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 539-4080
(256) 539-4099
Mailing address
930 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4312
(256) 519-8282
(256) 519-8327
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-119835
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-119835
AL
Other
Enumeration date
03/02/2016
Last updated
01/19/2023
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