Individual
RICHARD E GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
985 NINTH AVENUE S.W., SUITE 308, BESSEMER, AL 35022
(205) 481-7780
(205) 481-7740
Mailing address
985 NINTH AVENUE S.W., SUITE 308, BESSEMER, AL 35022
(205) 481-7780
(205) 481-7740
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
00012109
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000045124
—
AL
01
—
040013385
RAILROAD MEDICARE
AL
01
—
1010135
UNITED HEALTHCARE
AL
01
—
51045124
BLUE CROSS
AL
01
—
C71208
VIVA
AL
Enumeration date
08/29/2006
Last updated
08/24/2011
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