Individual
SARA LINDSAY GILLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110003987
VA
363AM0700X
Medical Physician Assistant
C0003485
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598947111
—
VA
Enumeration date
12/05/2007
Last updated
07/21/2023
Update your record
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