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Individual

GREG A GILLHAM

Active
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Individual

GREG A GILLHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19515
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03636
BCBS
NE
05
100380010A
KS
01
2663
MIDLANDS CHOICE
05
2959239
IA
05
470780857 23
NE
01
76-00113
UHC
NE
Enumeration date
07/21/2006
Last updated
01/27/2021
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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