Individual
FRANCIS ROOSEVELT GILLIAM III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 N SUMTER ST STE 410, SUMTER, SC 29150
(803) 774-9797
(803) 774-9796
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
14615
SC
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
14615
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101043514
STATE LICENSE
VA
01
—
14615
STATE LICENSE
SC
01
—
27190
STATE LICENSE
NC
05
—
8935558
—
NC
05
—
Q27190
—
SC
Enumeration date
08/05/2006
Last updated
03/07/2023
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