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Individual

HEATHER GILLIAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
60 BEAR DR, GREENVILLE, SC 29605-4458
(864) 844-9432
Mailing address
60 BEAR DR, GREENVILLE, SC 29605-4458
(864) 844-9432

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
241405
SC
163WC1500X
Community Health Registered Nurse
241405
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
28724
SC

Other

Enumeration date
08/08/2017
Last updated
03/17/2025
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