Organization
MERRI BETH GILLIAM CRNP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MERRI BETH GILLIAM CRNP (CRNP / OWNER)
(256) 233-0712
Entity
Organization
Contact information
Practice address
707 US HIGHWAY 31 S, SUITE D, ATHENS, AL 35611-3619
(256) 233-0712
(256) 233-3535
Mailing address
PO BOX 1735, ATHENS, AL 35612-6735
(256) 233-0712
(256) 233-3535
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1-073255
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891017564
—
AL
Enumeration date
04/14/2010
Last updated
05/08/2010
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