Individual
THEOPOLIS GILLIAM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
702 N MAIN ST, EMPORIA, VA 23847-1242
(434) 594-6603
(804) 765-6651
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 765-6650
(804) 765-6651
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101041278
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005818613
—
VA
01
—
187123
BLUE SHIELD
VA
01
—
6919392
CIGNA
—
Enumeration date
06/14/2006
Last updated
02/06/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us