Individual
DR. DAVID H GILLILAND
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
440 PEGRAM DR, TUPELO, MS 38801-6319
(662) 844-5344
(662) 844-5363
Mailing address
440 PEGRAM DR, TUPELO, MS 38801-6319
(662) 844-5344
(662) 844-5363
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
11724
MS
2086S0129X
Vascular Surgery Physician
Primary
11724
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00110162
—
MS
Enumeration date
12/13/2005
Last updated
09/11/2025
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