Individual
ROBERT LEE GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1412 ELBA HWY, TROY, AL 36079-6020
(334) 566-8822
Mailing address
1414 ELBA HWY, TROY, AL 36079-6020
(334) 670-6726
(334) 670-6731
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15599
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051046137
BCBS
AL
05
—
631802004
—
AL
Enumeration date
08/09/2006
Last updated
03/05/2013
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