NPI 1053346130
Larry S Gilliam, MD
Practice location
- Address
- 415 S 28th Ave, Hattiesburg, MS 39401-7246
- Phone
- (601) 261-3606
- Fax
- (601) 579-5383
Registered specialties
Anesthesiology Physician
Primary
Registry record
- NPI
- 1053346130
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Jul 2006
- Record last updated
- 23 Aug 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.