Individual
DAVID BRANDON GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTDPTATC
Contact information
Practice address
3810 CENTRAL PIKE, SUITE 102, HERMITAGE, TN 37076-3494
(615) 915-5000
(615) 915-5002
Mailing address
2001 MALLORY LN, SUITE 201, FRANKLIN, TN 37067-8233
(615) 373-1350
(615) 221-9054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000007423
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4134236
BLUE CROSS BLUE SHIELD
TN
Enumeration date
11/03/2006
Last updated
05/28/2014
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