Individual
MR. ROBERT GIL GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
727 SE MAIN ST, SUITE 220, SIMPSONVILLE, SC 29681
(864) 454-6600
(864) 454-6605
Mailing address
640 TIMBERWALK DR, SIMPSONVILLE, SC 29681
(864) 449-0948
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
363
SC
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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