Individual
MRS. HANG IN KNOLL GILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
59 SCARBOROUGH LN, SCOTTSBORO, AL 35769-6561
(555) 555-5555
Mailing address
59 SCARBOROUGH LN, SCOTTSBORO, AL 35769-6561
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-164502
AL
363LW0102X
Women's Health Nurse Practitioner
Primary
1-164502
AL
Other
Enumeration date
10/28/2020
Last updated
03/23/2026
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