Individual
STEPHANIE Y GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1225 E GARRISON BLVD, GASTONIA, NC 28054-5115
(704) 865-7416
(704) 865-7232
Mailing address
1225 E GARRISON BLVD, GASTONIA, NC 28054-5115
(704) 865-7416
(704) 865-7232
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
504
NC
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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