Individual
DR. THOMAS LEE GILLIGAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
617 WELLS ST, SISTERSVILLE, WV 26175-1323
(304) 652-1077
(304) 652-1028
Mailing address
617 WELLS ST, SISTERSVILLE, WV 26175-1323
(304) 652-1077
(304) 652-1028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
703
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0049379000
—
WV
Enumeration date
05/04/2006
Last updated
07/08/2007
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