Individual
HEATHER GILLILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
200 PATEWOOD DR BLDG B, GREENVILLE, SC 29615-3593
(864) 454-8260
Mailing address
409 TWIST CIR, MAULDIN, SC 29662-2594
(864) 561-5091
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
381
SC
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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