Individual
GARY GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
17285 VETERANS MEMORIAL HWY, DUNGANNON, VA 24245-3937
(276) 467-2201
(276) 467-2673
Mailing address
17285 VETERANS MEMORIAL HWY, DUNGANNON, VA 24245-3937
(276) 467-2201
(276) 467-2673
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024172696
VA
Other
Enumeration date
07/01/2015
Last updated
11/08/2019
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