Individual
STEVEN TROY GREMILLION
Active
Individual
STEVEN TROY GREMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M D
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
019055
LA
207RC0001X
Clinical Cardiac Electrophysiology Physician
19055
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060021713
PALMETTO GBA 10066
LA
01
—
232713
WELLCARE
LA
01
—
2500233
UNITED HEALTH CARE
LA
01
—
4516470
AETNA
LA
Enumeration date
08/09/2005
Last updated
01/25/2021
Update your record
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