Individual
MR. ANTWAN GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1021 CHECKREIN AVE # 309, COLUMBUS, OH 43229-1106
(614) 809-0946
Mailing address
819 MARLAN AVE, REYNOLDSBURG, OH 43068-1549
(614) 507-4409
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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