Individual
DR. LYNDA C GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4421
(256) 265-1000
Mailing address
PO BOX 2705, HUNTSVILLE, AL 35804-2705
(256) 265-3880
(256) 265-3886
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
00023658
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102I169604
MEDICARE PROVIDER NUMBER
AL
05
—
177811
—
AL
Enumeration date
08/17/2006
Last updated
01/08/2016
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