Individual
DR. HAROLD BRIAN GILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1207 MAIN STREET SUITE C, PERRY, GA 31069
(478) 987-9666
(478) 988-8091
Mailing address
P.O. BOX 628, PERRY, GA 31069
(478) 987-9666
(478) 988-8091
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO05526
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000806616A
—
GA
01
—
DH0819
PALMETTO GBA RAILROAD MEDICARE
GA
Enumeration date
08/14/2006
Last updated
03/17/2017
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