Individual
DAVID MARK GILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 W MILLERS COVE RD, WALLAND, TN 37886-2639
(865) 982-3880
Mailing address
PO BOX 8, WALLAND, TN 37886-0008
(865) 982-3880
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
28962
TN
Other
Enumeration date
06/03/2006
Last updated
07/26/2010
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