Individual
DR. DARRELL JON GILILLAND JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
SAMFORD UNIVERISTY, 800 LAKESHORE DRIVE, BIRMINGHAM, AL 35229-0001
(205) 726-4328
Mailing address
2325 ROYAL KNOLL LN, HOOVER, AL 35226-3023
(325) 829-3017
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1834
AL
2255A2300X
Athletic Trainer
AT1982
TX
Other
Enumeration date
07/22/2013
Last updated
09/01/2016
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