Individual
DR. FRED EMERSON GILLIARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
854 SPARKLEBERRY RD, EVANS, GA 30809-4431
(706) 306-9397
(706) 650-9529
Mailing address
854 SPARKLEBERRY RD, EVANS, GA 30809-4431
(706) 306-9397
(706) 650-9529
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
12468
GA
Other
Enumeration date
11/07/2013
Last updated
12/31/2013
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