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Individual

CLAIRE N GILLIAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
21849
MS
208000000X
Pediatrics Physician
T-2227
MS

Other

Enumeration date
07/01/2009
Last updated
06/07/2013
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