Organization
GEORGE S GILLIAM MD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE STEPHEN GILLIAM M.D. (OWNER-PRESIDENT)
(270) 691-9697
Entity
Organization
Contact information
Practice address
2200 E PARRISH AVE, STE. 203, BLDG B, OWENSBORO, KY 42303-1449
(270) 691-9697
(270) 691-0485
Mailing address
PO BOX 3276, EVANSVILLE, IN 47731-3276
(812) 473-0181
(812) 492-6498
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22817
KY
208600000X
Surgery Physician
—
—
246Z00000X
Other Specialist/Technologist
—
—
Other
Enumeration date
12/12/2006
Last updated
02/28/2023
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