Individual
TATIANA ALEXANDRIA GILLIARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
122 HARRIS ST, BISHOPVILLE, SC 29010-1602
(843) 425-4923
Mailing address
122 HARRIS ST, BISHOPVILLE, SC 29010-1602
(843) 425-4923
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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