Individual
BENNY ELBERT GILLIARD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 LAKESHORE DR, HOMEWOOD, AL 35209-6715
(205) 726-2011
Mailing address
3 FAIROAKS CT, GREENVILLE, SC 29615-4339
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/30/2017
Last updated
07/30/2017
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