Individual
KAREN ANNETTE GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
50 MILLER ST STE G, WINSTON SALEM, NC 27104-4206
(336) 718-1000
(336) 718-1065
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-1000
(336) 718-1298
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
01386
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005444
—
NC
Enumeration date
01/28/2006
Last updated
01/16/2024
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