Individual
PHILLIP RANDALL GILLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1088 INDUSTRIAL PKWY, SARALAND, AL 36571-3720
(251) 675-3666
(251) 675-9366
Mailing address
1088 INDUSTRIAL PKWY, SARALAND, AL 36571-3720
(251) 675-3666
(251) 675-9366
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51059805
BLUE CROSS
AL
Enumeration date
09/02/2006
Last updated
02/08/2008
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